Provider Demographics
NPI:1386975043
Name:BJORKBACK-SINGLETON, CATHERINE B (PT, RT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:B
Last Name:BJORKBACK-SINGLETON
Suffix:
Gender:F
Credentials:PT, RT
Other - Prefix:
Other - First Name:CATHY
Other - Middle Name:E
Other - Last Name:BJORKBACK
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:120 JACKSON RIVER ROAD
Mailing Address - Street 2:PO BOX 490
Mailing Address - City:MONTEREY
Mailing Address - State:VA
Mailing Address - Zip Code:24465-0490
Mailing Address - Country:US
Mailing Address - Phone:540-468-3300
Mailing Address - Fax:540-468-3316
Practice Address - Street 1:120 JACKSON RIVER ROAD
Practice Address - Street 2:
Practice Address - City:MONTEREY
Practice Address - State:VA
Practice Address - Zip Code:24465-0490
Practice Address - Country:US
Practice Address - Phone:540-468-3300
Practice Address - Fax:540-468-3316
Is Sole Proprietor?:No
Enumeration Date:2010-01-20
Last Update Date:2010-01-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2305000511225100000X
VA0117003122227800000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No227800000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersRespiratory Therapist, Certified