Individual
DR. MARY CATHERINE STATEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
911 B ST STE 102, CHESAPEAKE, VA 23324-2462
(757) 548-0014
Mailing address
PO BOX 412307, BOSTON, MA 02241-2307
(914) 294-4050
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
CP037215T
TN
225100000X
Physical Therapist
CP044785T
SC
225100000X
Physical Therapist
Primary
CP048649T
VA
225100000X
Physical Therapist
P19983
NC
Other
Enumeration date
03/29/2024
Last updated
09/11/2025
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