Provider Demographics
NPI:1154693273
Name:CARIJA, CATHERINE VICTORIA (LMT, CNMT)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:VICTORIA
Last Name:CARIJA
Suffix:
Gender:F
Credentials:LMT, CNMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5 STRONG AVE STE 212
Mailing Address - Street 2:
Mailing Address - City:NORTHAMPTON
Mailing Address - State:MA
Mailing Address - Zip Code:01060-3916
Mailing Address - Country:US
Mailing Address - Phone:413-586-0600
Mailing Address - Fax:
Practice Address - Street 1:5 STRONG AVE
Practice Address - Street 2:SUITE 212
Practice Address - City:NORTHAMPTON
Practice Address - State:MA
Practice Address - Zip Code:01060-3511
Practice Address - Country:US
Practice Address - Phone:413-586-0600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-05
Last Update Date:2012-02-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist