Individual
CATHERINE ANNE SPORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3400 SPRUCE ST, PHILADELPHIA, PA 19104-4238
(215) 662-2428
(215) 615-1658
Mailing address
3432 N VENICE ST, ARLINGTON, VA 22207-4447
Taxonomy
Speciality
Code
Description
License number
State
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
—
Other
Enumeration date
03/25/2025
Last updated
04/17/2025
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