Healthcare Provider Details

I. General information

NPI: 1114477585
Provider Name (Legal Business Name): KATHRYN CSETE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 10/10/2016
Last Update Date: 10/10/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5905 SEVERIN DR
LA MESA CA
91942-3806
US

IV. Provider business mailing address

1854 HORNBLEND ST APT. 3
SAN DIEGO CA
92109-4550
US

V. Phone/Fax

Practice location:
  • Phone: 619-589-2606
  • Fax:
Mailing address:
  • Phone: 805-245-8030
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QP2000X
TaxonomyPhysical Therapy Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: