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1417380536 NPI number — CATHERINE LYNN WOZNIAK DPT

NPI Number: 1417380536
Health Care Provider/Practitioner: CATHERINE LYNN WOZNIAK DPT

Information about “1417380536” NPI (CATHERINE LYNN WOZNIAK DPT) exists in 1417380536 in HTML format HTML  |  1417380536 in plain Text format TXT  |  1417380536 in PDF (Portable Document Format) PDF  |  1417380536 in an XML format XML  formats.

NPI Number : 1417380536 – JSON Data Format

                
{
  "Npi": {
    "NPI": "1417380536",
    "EntityType": "Individual",
    "ReplacementNPI": null,
    "EIN": null,
    "IsSoleProprietor": "N",
    "IsOrgSubpart": null,
    "ParentOrgLBN": null,
    "ParentOrgTIN": null,
    "OrgName": null,
    "LastName": "WOZNIAK",
    "FirstName": "CATHERINE",
    "MiddleName": "LYNN",
    "NamePrefix": "MRS.",
    "NameSuffix": null,
    "Credential": "DPT",
    "OtherOrgName": null,
    "OtherOrgNameTypeCode": null,
    "OtherLastName": "TATE",
    "OtherFirstName": "CATHERINE",
    "OtherMiddleName": "L",
    "OtherNamePrefix": null,
    "OtherNameSuffix": null,
    "OtherCredential": null,
    "OtherLastNameTypeCode": "1",
    "FirstLineMailingAddress": "301 MARGIE DR",
    "SecondLineMailingAddress": null,
    "MailingAddressCityName": "WARNER ROBINS",
    "MailingAddressStateName": "GA",
    "MailingAddressPostalCode": "31088-7818",
    "MailingAddressCountryCode": "US",
    "MailingAddressTelephoneNumber": "478-971-1153",
    "MailingAddressFaxNumber": "478-971-1171",
    "FirstLinePracticeLocationAddress": "301 MARGIE DR",
    "SecondLinePracticeLocationAddress": null,
    "PracticeLocationAddressCityName": "WARNER ROBINS",
    "PracticeLocationAddressStateName": "GA",
    "PracticeLocationAddressPostalCode": "31088-7818",
    "PracticeLocationAddressCountryCode": "US",
    "PracticeLocationAddressTelephoneNumber": "478-971-1153",
    "PracticeLocationAddressFaxNumber": "478-971-1171",
    "EnumerationDate": "08/13/2013",
    "LastUpdateDate": "03/20/2025",
    "NPIDeactivationReasonCode": null,
    "NPIDeactivationReason": null,
    "NPIDeactivationDate": null,
    "NPIReactivationDate": null,
    "GenderCode": "F",
    "Gender": "Female",
    "AuthorizedOfficialLastName": null,
    "AuthorizedOfficialFirstName": null,
    "AuthorizedOfficialMiddleName": null,
    "AuthorizedOfficialTitle": null,
    "AuthorizedOfficialNamePrefix": null,
    "AuthorizedOfficialNameSuffix": null,
    "AuthorizedOfficialCredential": null,
    "AuthorizedOfficialTelephoneNumber": null,
    "Taxonomies": {
      "Taxonomy": [
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "PT30504",
          "LicenseNumberStateCode": "FL",
          "PrimaryTaxonomySwitch": "N"
        },
        {
          "TaxonomyCode": "225100000X",
          "TaxonomyName": "Physical Therapist",
          "LicenseNumber": "PT011143",
          "LicenseNumberStateCode": "GA",
          "PrimaryTaxonomySwitch": "Y"
        }
      ]
    },
    "HealthcareProviderTaxonomyGroups": null
  }
}
                
            

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