MEDICARE: CATHERINE P HOLWAY P.T., D.P.T.

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	208100000X	Physical Medicine & Rehabilitation Physician	11783	FL
2	2251N0400X	Neurology Physical Therapist	11783	FL

General Provider Information

NPI Number	:	1609034701
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CATHERINE P HOLWAY P.T., D.P.T.

Provider Business Mailing Address
First Line	:	PO BOX 31778
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33420-1778
Country	:	US
Telephone Number	:	561-252-0943
Fax Number	:	561-627-6734

Provider Business Practice Location Address
First Line	:	5081 MAGNOLIA BAY CIR
Second Line	:
City	:	PALM BEACH GARDENS
State	:	FL
Zip	:	33418-6733
Country	:	US
Telephone Number	:	561-252-0943
Fax Number	:	561-627-6734

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	05/27/2008
Last Update Date	:	02/24/2023

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