Provider Demographics
NPI:1376718817
Name:CATRAL, CATHERINE BRIGUERA (PT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:BRIGUERA
Last Name:CATRAL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MS
Other - First Name:CATHERINE
Other - Middle Name:
Other - Last Name:BRIGUERA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:50920 CHERRY FARM TRL
Mailing Address - Street 2:
Mailing Address - City:GRANGER
Mailing Address - State:IN
Mailing Address - Zip Code:46530-8942
Mailing Address - Country:US
Mailing Address - Phone:574-220-2140
Mailing Address - Fax:574-272-7355
Practice Address - Street 1:50920 CHERRY FARM TRL
Practice Address - Street 2:
Practice Address - City:GRANGER
Practice Address - State:IN
Practice Address - Zip Code:46530-8942
Practice Address - Country:US
Practice Address - Phone:574-220-2140
Practice Address - Fax:574-272-7355
Is Sole Proprietor?:No
Enumeration Date:2008-04-25
Last Update Date:2009-02-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN05003862A225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist