Provider Demographics
NPI:1699716092
Name:ACCURSO, CATHERINE ANNE (PT)
Entity type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ANNE
Last Name:ACCURSO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:84 THEATRE DR STE 500
Mailing Address - Street 2:
Mailing Address - City:ST AUGUSTINE
Mailing Address - State:FL
Mailing Address - Zip Code:32086-3131
Mailing Address - Country:US
Mailing Address - Phone:305-962-5940
Mailing Address - Fax:904-222-6450
Practice Address - Street 1:84 THEATRE DR STE 500
Practice Address - Street 2:
Practice Address - City:ST AUGUSTINE
Practice Address - State:FL
Practice Address - Zip Code:32086-3131
Practice Address - Country:US
Practice Address - Phone:904-222-6440
Practice Address - Fax:904-222-6450
Is Sole Proprietor?:No
Enumeration Date:2006-06-09
Last Update Date:2023-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT131452251X0800X, 225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic