Provider Demographics
NPI:1033231402
Name:MCCABE, ERIC JOHN (DPT)
Entity Type:Individual
Prefix:MR
First Name:ERIC
Middle Name:JOHN
Last Name:MCCABE
Suffix:
Gender:M
Credentials:DPT
Other - Prefix:
Other - First Name:
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Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3110 CHINO AVE
Mailing Address - Street 2:SUITE 130
Mailing Address - City:CHINO HILLS
Mailing Address - State:CA
Mailing Address - Zip Code:91709-1211
Mailing Address - Country:US
Mailing Address - Phone:909-902-5049
Mailing Address - Fax:909-902-5059
Practice Address - Street 1:3110 CHINO AVE
Practice Address - Street 2:SUITE 130
Practice Address - City:CHINO HILLS
Practice Address - State:CA
Practice Address - Zip Code:91709-1211
Practice Address - Country:US
Practice Address - Phone:909-902-5049
Practice Address - Fax:909-902-5059
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist