Provider Demographics
NPI:1528697661
Name:CABRAL, DENISE MARIE (PT)
Entity type:Individual
Prefix:
First Name:DENISE
Middle Name:MARIE
Last Name:CABRAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:67 CHELSEA LN
Mailing Address - Street 2:
Mailing Address - City:CARLISLE
Mailing Address - State:PA
Mailing Address - Zip Code:17015-7911
Mailing Address - Country:US
Mailing Address - Phone:717-713-9571
Mailing Address - Fax:
Practice Address - Street 1:67 CHELSEA LN
Practice Address - Street 2:
Practice Address - City:CARLISLE
Practice Address - State:PA
Practice Address - Zip Code:17015-7911
Practice Address - Country:US
Practice Address - Phone:717-486-7113
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-04-01
Last Update Date:2020-04-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT019124225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist