Healthcare Provider Details

I. General information

NPI: 1073257663
Provider Name (Legal Business Name): TAYLOR CATHERINE PICHEL
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/21/2022
Last Update Date: 06/05/2026
Certification Date: 06/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4705 US-19 ALT
PALM HARBOR FL
34683
US

IV. Provider business mailing address

64 PINE ISLAND RD
HOPKINTON MA
01748-2225
US

V. Phone/Fax

Practice location:
  • Phone: 727-781-3550
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code2255A2300X
TaxonomyAthletic Trainer
License Number
License Number State

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: