Provider Demographics
NPI:1811460405
Name:CATANZARO, LAURA MARY (PT, DPT)
Entity type:Individual
Prefix:DR
First Name:LAURA
Middle Name:MARY
Last Name:CATANZARO
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 U.S. 9
Mailing Address - Street 2:
Mailing Address - City:FREEHOLD
Mailing Address - State:NJ
Mailing Address - Zip Code:07728-1227
Mailing Address - Country:US
Mailing Address - Phone:732-625-2200
Mailing Address - Fax:
Practice Address - Street 1:4400 ROUTE 9 S STE 1500
Practice Address - Street 2:
Practice Address - City:FREEHOLD
Practice Address - State:NJ
Practice Address - Zip Code:07728-4236
Practice Address - Country:US
Practice Address - Phone:732-625-2200
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2019-01-07
Last Update Date:2020-12-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01839100225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist