Provider Demographics
NPI:1578093993
Name:CABRERA, JULIO (PT, DPT)
Entity Type:Individual
Prefix:
First Name:JULIO
Middle Name:
Last Name:CABRERA
Suffix:
Gender:M
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2090 PALM BEACH LAKES BLVD STE 900
Mailing Address - Street 2:
Mailing Address - City:WEST PALM BEACH
Mailing Address - State:FL
Mailing Address - Zip Code:33409-6508
Mailing Address - Country:US
Mailing Address - Phone:561-335-5965
Mailing Address - Fax:561-335-5961
Practice Address - Street 1:2090 PALM BEACH LAKES BLVD STE 900
Practice Address - Street 2:
Practice Address - City:WEST PALM BEACH
Practice Address - State:FL
Practice Address - Zip Code:33409-6508
Practice Address - Country:US
Practice Address - Phone:561-335-5965
Practice Address - Fax:561-335-5961
Is Sole Proprietor?:Yes
Enumeration Date:2017-06-18
Last Update Date:2020-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01729500225100000X
2251X0800X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Multi-Specialty