Provider Demographics
NPI:1154892503
Name:CULLITON, CATHERINE ANN (PT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:ANN
Last Name:CULLITON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:CATHERINE
Other - Middle Name:ANN
Other - Last Name:SCHILLER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:27 PLYMOUTH RD
Mailing Address - Street 2:
Mailing Address - City:WHITE PLAINS
Mailing Address - State:NY
Mailing Address - Zip Code:10603-1128
Mailing Address - Country:US
Mailing Address - Phone:914-943-9105
Mailing Address - Fax:
Practice Address - Street 1:115 BROADWAY
Practice Address - Street 2:
Practice Address - City:DOBBS FERRY
Practice Address - State:NY
Practice Address - Zip Code:10522-2835
Practice Address - Country:US
Practice Address - Phone:914-326-3199
Practice Address - Fax:914-693-6836
Is Sole Proprietor?:Yes
Enumeration Date:2018-12-11
Last Update Date:2019-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY007568-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist