Provider Demographics
NPI:1396176053
Name:CARACCIOLO, KATHARINE (DPT)
Entity type:Individual
Prefix:
First Name:KATHARINE
Middle Name:
Last Name:CARACCIOLO
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:KATHARINE
Other - Middle Name:
Other - Last Name:MAGRI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT
Mailing Address - Street 1:169 NORTH FRANKLIN ST
Mailing Address - Street 2:GROUND FLOOR
Mailing Address - City:HOLBROOK
Mailing Address - State:MA
Mailing Address - Zip Code:02343-1174
Mailing Address - Country:US
Mailing Address - Phone:781-767-5200
Mailing Address - Fax:781-767-5202
Practice Address - Street 1:169 NORTH FRANKLIN ST
Practice Address - Street 2:GROUND FLOOR
Practice Address - City:HOLBROOK
Practice Address - State:MA
Practice Address - Zip Code:02343-1174
Practice Address - Country:US
Practice Address - Phone:781-767-5200
Practice Address - Fax:781-767-5202
Is Sole Proprietor?:No
Enumeration Date:2013-12-06
Last Update Date:2024-01-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA20902225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist