Provider Demographics
NPI:1689568602
Name:CABRAL, ERIK (PT)
Entity type:Individual
Prefix:
First Name:ERIK
Middle Name:
Last Name:CABRAL
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1720 WASILLA LN
Mailing Address - Street 2:
Mailing Address - City:NEENAH
Mailing Address - State:WI
Mailing Address - Zip Code:54956-9417
Mailing Address - Country:US
Mailing Address - Phone:920-659-8251
Mailing Address - Fax:
Practice Address - Street 1:41810 N VENTURE DR BLDG C
Practice Address - Street 2:
Practice Address - City:ANTHEM
Practice Address - State:AZ
Practice Address - Zip Code:85086-3169
Practice Address - Country:US
Practice Address - Phone:623-212-1000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-04
Last Update Date:2025-06-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist