Provider Demographics
NPI:1356491674
Name:CABRAL, PATRICIA (PT MS)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:
Last Name:CABRAL
Suffix:
Gender:F
Credentials:PT MS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 6236
Mailing Address - Street 2:
Mailing Address - City:CHRISTIANSTED
Mailing Address - State:VI
Mailing Address - Zip Code:00823-6236
Mailing Address - Country:US
Mailing Address - Phone:340-773-9976
Mailing Address - Fax:
Practice Address - Street 1:2133 HOSPITAL ST
Practice Address - Street 2:
Practice Address - City:CHRISTIANSTED
Practice Address - State:VI
Practice Address - Zip Code:00820-4609
Practice Address - Country:US
Practice Address - Phone:340-718-7997
Practice Address - Fax:340-718-4240
Is Sole Proprietor?:No
Enumeration Date:2007-01-11
Last Update Date:2012-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VI91225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist