Provider Demographics
NPI:1487944526
Name:ABERNATHA-NEALLY, CATHARINE A (PT)
Entity type:Individual
Prefix:MRS
First Name:CATHARINE
Middle Name:A
Last Name:ABERNATHA-NEALLY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:CATHARINE
Other - Middle Name:A
Other - Last Name:ABERNATHA
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT
Mailing Address - Street 1:10684 BEAR RUN RD
Mailing Address - Street 2:
Mailing Address - City:CORNING
Mailing Address - State:NY
Mailing Address - Zip Code:14830-9027
Mailing Address - Country:US
Mailing Address - Phone:607-368-3334
Mailing Address - Fax:
Practice Address - Street 1:10684 BEAR RUN RD
Practice Address - Street 2:
Practice Address - City:CORNING
Practice Address - State:NY
Practice Address - Zip Code:14830-9027
Practice Address - Country:US
Practice Address - Phone:607-368-3334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-04-11
Last Update Date:2011-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY0163282251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics