Provider Demographics
NPI:1396728515
Name:FREEMAN, CATHERINE A (PT)
Entity type:Individual
Prefix:
First Name:CATHERINE
Middle Name:A
Last Name:FREEMAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:224 MAIN ST
Mailing Address - Street 2:UNIT 1B
Mailing Address - City:SALEM
Mailing Address - State:NH
Mailing Address - Zip Code:03079-3174
Mailing Address - Country:US
Mailing Address - Phone:603-898-9300
Mailing Address - Fax:603-898-9301
Practice Address - Street 1:224 MAIN ST
Practice Address - Street 2:UNIT 1B
Practice Address - City:SALEM
Practice Address - State:NH
Practice Address - Zip Code:03079-3174
Practice Address - Country:US
Practice Address - Phone:603-898-9300
Practice Address - Fax:603-898-9301
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-11-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1053225100000X
MA6061225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NH5414263OtherFIRST HEALTH (HCVM)
NHAA33984OtherHARVARD PILGRIM HEALTHCAR
NH3837940OtherAETNA
MAY68467OtherBC/BSMA
NHAA33984OtherHARVARD PILGRIM HEALTHCAR