Healthcare Provider Details

I. General information

NPI: 1386975043
Provider Name (Legal Business Name): CATHERINE B BJORKBACK-SINGLETON PT, RT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

Provider Other Name: CATHY E BJORKBACK

II. Dates (important events)

Enumeration Date: 01/20/2010
Last Update Date: 01/20/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

120 JACKSON RIVER ROAD
MONTEREY VA
24465-0490
US

IV. Provider business mailing address

120 JACKSON RIVER ROAD PO BOX 490
MONTEREY VA
24465-0490
US

V. Phone/Fax

Practice location:
  • Phone: 540-468-3300
  • Fax: 540-468-3316
Mailing address:
  • Phone: 540-468-3300
  • Fax: 540-468-3316

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305000511
License Number StateVA
# 2
Primary TaxonomyN
Taxonomy Code227800000X
TaxonomyCertified Respiratory Therapist
License Number0117003122
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: