Provider Demographics
NPI:1861218133
Name:CATALLO, CHLOE
Entity type:Individual
Prefix:
First Name:CHLOE
Middle Name:
Last Name:CATALLO
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:37051 JEFFERSON CT APT 608
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48335-1987
Mailing Address - Country:US
Mailing Address - Phone:734-716-8721
Mailing Address - Fax:
Practice Address - Street 1:41430 GRAND RIVER AVE STE B
Practice Address - Street 2:
Practice Address - City:NOVI
Practice Address - State:MI
Practice Address - Zip Code:48375-1876
Practice Address - Country:US
Practice Address - Phone:248-826-5600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-12-02
Last Update Date:2024-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist