Healthcare Provider Details

I. General information

NPI: 1700931581
Provider Name (Legal Business Name): ROBERT M. CATALANO MA,PT,CERT.MDT
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/24/2007
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3411 SILVERSIDE RD SPRINGER BLDG. SUITE 105
WILMINGTON DE
19810-4812
US

IV. Provider business mailing address

3411 SILVERSIDE ROAD SPRINGER BLDG. SUITE 105
WILMINGTON DE
19810
US

V. Phone/Fax

Practice location:
  • Phone: 302-478-5240
  • Fax: 302-478-2592
Mailing address:
  • Phone: 302-478-5240
  • Fax: 302-478-2592

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberJ1-0000245
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: