Basic Information
Provider Information
NPI: 1780284968
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: CIER
FirstName: CATHERINE
MiddleName:  
NamePrefix:  
NameSuffix:  
Credential: DPT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 3650 N ACCESS RD
Address2:  
City: ENGLEWOOD
State: FL
PostalCode: 342248655
CountryCode: US
TelephoneNumber: 9416812064
FaxNumber: 9412185628
Practice Location
Address1: 3650 N ACCESS RD
Address2:  
City: ENGLEWOOD
State: FL
PostalCode: 342248655
CountryCode: US
TelephoneNumber: 9416812064
FaxNumber: 9412185628
Other Information
ProviderEnumerationDate: 10/28/2020
LastUpdateDate: 10/28/2020
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate: 10/28/2020

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225100000XPT36099FLY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist 

No ID Information.


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