Provider Demographics
NPI:1578836284
Name:CABREROS, DEBBY B (CMT)
Entity Type:Individual
Prefix:
First Name:DEBBY
Middle Name:B
Last Name:CABREROS
Suffix:
Gender:F
Credentials:CMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1833 W MARCH LN
Mailing Address - Street 2:STE 7
Mailing Address - City:STOCKTON
Mailing Address - State:CA
Mailing Address - Zip Code:95207-6415
Mailing Address - Country:US
Mailing Address - Phone:209-474-3461
Mailing Address - Fax:
Practice Address - Street 1:1833 W MARCH LN
Practice Address - Street 2:STE 7
Practice Address - City:STOCKTON
Practice Address - State:CA
Practice Address - Zip Code:95207-6415
Practice Address - Country:US
Practice Address - Phone:209-474-3461
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2012-02-13
Last Update Date:2012-02-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2072225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist