| Doctor Name: | MICHAEL JOSEPH CATUCCIO |
| NPI Number: | 1649304643 |
| Entity Type Code: | Individual (1) |
| Gender: | M |
| Credentials: | PT |
| License Number: | 005223 |
| Business Practice Address: | 2 Case Cir West Simsbury, CT - 060922200 |
| Business Phone Number: | 8606511084 |
| Business Fax Number: | 8606511084 |
| Mailing Address: | 2 Case Cir, WEST SIMSBURY |
| State: | CT |
| Postal Code: | 060922200 |
| Phone Number: | 8606511084 |
| Fax Number: | 8606511084 |
| NPI Enumeration Date: | 03/14/2007 |
| NPI Last Update Date: | 07/08/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 2251G0304X |
| License Number: | 005223 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CT |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Physical Therapist |
| Taxonomy Specialization: | Geriatrics |
| Taxonomy Definition: | |