Healthcare Provider Details

I. General information

NPI: 1750860136
Provider Name (Legal Business Name): JOSIE MONIQUE CATON I PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

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

1900 E MAIN ST
LANCASTER OH
43130-9302
US

IV. Provider business mailing address

2830 S HANNAH DR
ZANESVILLE OH
43701-9424
US

V. Phone/Fax

Practice location:
  • Phone: 740-653-8630
  • Fax:
Mailing address:
  • Phone: 740-819-1442
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number011815
License Number StateOH

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: