Healthcare Provider Details

I. General information

NPI: 1366367609
Provider Name (Legal Business Name): CATHERINE SLEVIN
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/13/2026
Last Update Date: 08/13/2026
Certification Date: 08/13/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5333 MISSION CENTER RD
SAN DIEGO CA
92108-1302
US

IV. Provider business mailing address

3824 1/2 ARIZONA ST
SAN DIEGO CA
92104-3329
US

V. Phone/Fax

Practice location:
  • Phone: 619-295-3355
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number310590
License Number StateCA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: