Healthcare Provider Details

I. General information

NPI: 1053859132
Provider Name (Legal Business Name): CATHERINE COTE DPT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 02/08/2017
Last Update Date: 02/08/2017
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

39 CARLON DR
NORTHAMPTON MA
01060-2392
US

IV. Provider business mailing address

39 CARLON DR
NORTHAMPTON MA
01060-2392
US

V. Phone/Fax

Practice location:
  • Phone: 413-727-3315
  • Fax:
Mailing address:
  • Phone: 413-727-3315
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number22849
License Number StateMA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: