Provider Demographics
NPI:1629152988
Name:CAMBRIDGE, CATHERINE ANN (PT,CHT)
Entity Type:Individual
Prefix:MS
First Name:CATHERINE
Middle Name:ANN
Last Name:CAMBRIDGE
Suffix:
Gender:F
Credentials:PT,CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1265 WAYNE AVE STE 308
Mailing Address - Street 2:119 PROFESSIONAL BUILDING
Mailing Address - City:INDIANA
Mailing Address - State:PA
Mailing Address - Zip Code:15701-3501
Mailing Address - Country:US
Mailing Address - Phone:724-801-8095
Mailing Address - Fax:724-801-8147
Practice Address - Street 1:3401 BRANDYWINE PARKWAY
Practice Address - Street 2:SUITE 201
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-1492
Practice Address - Country:US
Practice Address - Phone:302-479-0880
Practice Address - Fax:302-479-0550
Is Sole Proprietor?:No
Enumeration Date:2006-10-24
Last Update Date:2015-07-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-0001112251H1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251H1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistHand
Provider Identifiers
StateIdentifier IDID TypeIssuer
DE2786855OtherHIGHMARK
PA2146033OtherHIGHMARK
DE3764416000OtherAMERIHEALTH
DE1629152988Medicaid
DEAC44-0032OtherCAREFIRST
DEP01175491OtherMEDICARE RR
MD3450031Medicaid
DEP01175491OtherMEDICARE RR