Healthcare Provider Details

I. General information

NPI: 1629152988
Provider Name (Legal Business Name): CATHERINE ANN CAMBRIDGE PT,CHT
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/24/2006
Last Update Date: 07/24/2015
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3401 BRANDYWINE PARKWAY SUITE 201
WILMINGTON DE
19803-1492
US

IV. Provider business mailing address

1265 WAYNE AVE STE 308 119 PROFESSIONAL BUILDING
INDIANA PA
15701-3501
US

V. Phone/Fax

Practice location:
  • Phone: 302-479-0880
  • Fax: 302-479-0550
Mailing address:
  • Phone: 724-801-8095
  • Fax: 724-801-8147

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code2251H1200X
TaxonomyHand Physical Therapist
License NumberJ1-000111
License Number StateDE

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: