Basic Information
| Provider Information | |||||||||
| NPI: | 1477851095 | ||||||||
| EntityType: | 1 | ||||||||
| ReplacementNPI: | |||||||||
| OrganizationName: | |||||||||
| LastName: | FRANCHETTI | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | M | ||||||||
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| Credential: | DPT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1714 PARKVUE RD | ||||||||
| Address2: | |||||||||
| City: | FALLSTON | ||||||||
| State: | MD | ||||||||
| PostalCode: | 210472200 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4102413795 | ||||||||
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| Practice Location | |||||||||
| Address1: | 4337 EBENEZER RD | ||||||||
| Address2: | |||||||||
| City: | NOTTINGHAM | ||||||||
| State: | MD | ||||||||
| PostalCode: | 212362143 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 4105293303 | ||||||||
| FaxNumber: | 4105297980 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 03/06/2011 | ||||||||
| LastUpdateDate: | 08/04/2020 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | Y | ||||||||
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| NPICertificationDate: | 08/04/2020 | ||||||||
Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225100000X | 22602 | MD | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
ID Information
| ID | Type | State | Issuer | Description | F517 | 01 | MD | BLUE CROSS OF MARYLAND | OTHER |