MEDICARE: DR. CATHERINE ANDRASKO DPT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	40QA01516800	NJ

General Provider Information

NPI Number	:	1831524669
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	DR. CATHERINE ANDRASKO DPT

Provider Business Mailing Address
First Line	:	56 S ASHBY AVE
Second Line	:
City	:	LIVINGSTON
State	:	NJ
Zip	:	07039-2826
Country	:	US
Telephone Number	:	973-432-7588
Fax Number	:

Provider Business Practice Location Address
First Line	:	450 HAMBURG TPKE
Second Line	:
City	:	WAYNE
State	:	NJ
Zip	:	07470-8480
Country	:	US
Telephone Number	:	973-706-7620
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2013
Last Update Date	:	09/30/2013

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