Healthcare Provider Details

I. General information

NPI: 1306325758
Provider Name (Legal Business Name): ROBERT CATANESE
Entity Type: Individual
Gender: Male
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 08/07/2018
Last Update Date: 08/07/2018
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8803 BRECKSVILLE RD
BRECKSVILLE OH
44141-1932
US

IV. Provider business mailing address

2132 CASE PKWY STE A
TWINSBURG OH
44087-2383
US

V. Phone/Fax

Practice location:
  • Phone: 440-746-1730
  • Fax: 440-746-1732
Mailing address:
  • Phone: 330-963-2920
  • Fax: 330-963-2921

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberPT017688
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: