Provider Demographics
NPI:1548330996
Name:CATALLO-MADRUGA, MARQUITA H (DPT, CFDN)
Entity type:Individual
Prefix:DR
First Name:MARQUITA
Middle Name:H
Last Name:CATALLO-MADRUGA
Suffix:
Gender:F
Credentials:DPT, CFDN
Other - Prefix:DR
Other - First Name:MARCI
Other - Middle Name:
Other - Last Name:CATALLO-MADRUGA
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT, DPT, CFMP, CFDN
Mailing Address - Street 1:5440 E COSTILLA DR STE 200
Mailing Address - Street 2:
Mailing Address - City:CENTENNIAL
Mailing Address - State:CO
Mailing Address - Zip Code:80122-2509
Mailing Address - Country:US
Mailing Address - Phone:303-641-0887
Mailing Address - Fax:303-773-0773
Practice Address - Street 1:9034 E EASTER PL STE 207
Practice Address - Street 2:
Practice Address - City:CENTENNIAL
Practice Address - State:CO
Practice Address - Zip Code:80112-2104
Practice Address - Country:US
Practice Address - Phone:303-773-0771
Practice Address - Fax:303-773-0773
Is Sole Proprietor?:No
Enumeration Date:2006-11-09
Last Update Date:2019-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO8977225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
COC477678Medicare PIN