Provider Demographics
NPI:1518174135
Name:CAMERON, CATHERINE ICE (PT)
Entity Type:Individual
Prefix:MRS
First Name:CATHERINE
Middle Name:ICE
Last Name:CAMERON
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:CATHERINE
Other - Middle Name:SUE
Other - Last Name:ICE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:20 TURNBERRY DR
Mailing Address - Street 2:
Mailing Address - City:ARDEN
Mailing Address - State:NC
Mailing Address - Zip Code:28704-2636
Mailing Address - Country:US
Mailing Address - Phone:828-684-7622
Mailing Address - Fax:
Practice Address - Street 1:266 MERRIMON AVE
Practice Address - Street 2:
Practice Address - City:ASHEVILLE
Practice Address - State:NC
Practice Address - Zip Code:28801-1218
Practice Address - Country:US
Practice Address - Phone:828-258-1034
Practice Address - Fax:828-254-1034
Is Sole Proprietor?:No
Enumeration Date:2007-05-16
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1007225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC1007OtherPHYSICAL THERAPY