CATACUTAN H MARY JANE - NPI: 1295377091


Mood disorder is a group of diagnoses in the Diagnostic and Statistical Manual of Mental Disorders classification system where a disturbance in the person's mood is hypothesized to be the main underlying feature. The classification is known as mood (affective) disorders in International Classification of Diseases (ICD).

NPI: 1295377091
Entity Type: Person: individual human being who furnishes health care.
Provider First Name: MARY JANE
Provider Last Name: CATACUTAN
Provider Middle Name: H
Provider Name Prefix Text: MRS.
Provider Gender Code: F
Provider Credential Text: PT
Provider Enumeration Date: 10/13/2019
Last Update Date: 10/13/2019

Business Address:

Provider First Line Business Mailing Address: 3522 JOSLIN WAY
Provider Business Mailing Address City Name: WEST MELBOURNE
Provider Business Mailing Address State Name: FL
Provider Business Mailing Address Postal Code: 32904
Provider Business Mailing Address Country Code (If outside U.S.): US
Phone: 4079658256

Mailing Address:

Provider First Line Business Practice Location Address: 3522 JOSLIN WAY
Provider Business Practice Location Address City Name: WEST MELBOURNE
Provider Business Practice Location Address State Name: FL
Provider Business Practice Location Address Postal Code: 32904
Provider Business Practice Location Address Country Code (If outside U.S.): US
Phone: 4079658256

Primary Taxonomy:

Taxonomy Code: 208100000X
License Number: PT24539
License State: FL
Healthcare Provider Primary Taxonomy Switch: N - The taxonomy is not the primary taxonomy
Type: Allopathic & Osteopathic Physicians
Classification: Physical Medicine & Rehabilitation
Definition: Physical medicine and rehabilitation
Taxonomy Description: also referred to as rehabilitation medicine

Secondary Taxonomy:

Taxonomy Code: 225100000X
License Number: PT24539
License State: FL
Healthcare Provider Primary Taxonomy Switch: Y - The taxonomy is the primary taxonomy (there can be only one per NPI record
Type: Respiratory
Classification: Developmental
Specialization: Rehabilitative and Restorative Service Providers
Definition: Physical Therapist
Source: The National Provider Identifier

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