Childress, Catherine Penn

Childress, Catherine Penn is an individual health care provider with primary practice located at 1690 Us Highway 1 S Ste A , St Augustine FL 32084-6024. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic, which is considered as her primary health care specialty. Childress, Catherine Penn can be contacted via phone (904) 810-2101.

Contact Information

Primary practice address
1690 Us Highway 1 S Ste A St Augustine FL 32084-6024
Phone: (904) 810-2101
Fax: (904) 810-2106
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Orthopedic 2251X0800X PT22844 Florida

Profile Details

NPI number 1144350778
LBN Legal business name Childress, Catherine Penn
Credentials DPT
Entity Individual
Sole proprietor 1 No
Enumeration date Mar 6th, 2007
Last updated Aug 6th, 2007 - about 19 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1144350778 NPPES
Florida Other PT22844 LICENSE

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