Healthcare Provider Details

I. General information

NPI: 1356491674
Provider Name (Legal Business Name): PATRICIA CABRAL PT MS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 01/11/2007
Last Update Date: 02/21/2012
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2133 HOSPITAL ST
CHRISTIANSTED VI
00820-4609
US

IV. Provider business mailing address

PO BOX 6236
CHRISTIANSTED VI
00823-6236
US

V. Phone/Fax

Practice location:
  • Phone: 340-718-7997
  • Fax: 340-718-4240
Mailing address:
  • Phone: 340-773-9976
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number91
License Number StateVI

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: