Provider Demographics
NPI:1386046993
Name:CONTI, CAITLIN ELIZABETH
Entity type:Individual
Prefix:MRS
First Name:CAITLIN
Middle Name:ELIZABETH
Last Name:CONTI
Suffix:
Gender:F
Credentials:
Other - Prefix:MS
Other - First Name:CAITLIN
Other - Middle Name:ELIZABETH
Other - Last Name:LANG
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:8850 BARNES LAKE RD
Mailing Address - Street 2:
Mailing Address - City:IRWIN
Mailing Address - State:PA
Mailing Address - Zip Code:15642-3166
Mailing Address - Country:US
Mailing Address - Phone:724-864-7190
Mailing Address - Fax:
Practice Address - Street 1:8850 BARNES LAKE RD
Practice Address - Street 2:
Practice Address - City:IRWIN
Practice Address - State:PA
Practice Address - Zip Code:15642-3166
Practice Address - Country:US
Practice Address - Phone:724-864-7190
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-09-25
Last Update Date:2014-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATE010196225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant