Individual
MS. CATHLEEN T. WALRAVEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
33 BROADWAY, LADY K LINGERIE, DENVILLE, NJ 07834-2705
(973) 627-1836
(973) 627-7105
Mailing address
33 BROADWAY, LADY K LINGERIE, DENVILLE, NJ 07834-2705
(973) 627-1836
(973) 627-7105
Taxonomy
Speciality
Code
Description
License number
State
225000000X
Orthotic Fitter
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
C17789
BOC
—
01
—
CFM00259
CERTIFICATION # FOR ABC
—
Enumeration date
03/23/2007
Last updated
07/08/2007
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