Provider Demographics
NPI:1710264155
Name:KAMI-CADLE, NUBITI (RPT)
Entity Type:Individual
Prefix:MRS
First Name:NUBITI
Middle Name:
Last Name:KAMI-CADLE
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:13405 CUMBERLAND PL
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-5448
Mailing Address - Country:US
Mailing Address - Phone:909-641-3201
Mailing Address - Fax:909-463-3699
Practice Address - Street 1:19239 COLIMA RD
Practice Address - Street 2:
Practice Address - City:ROWLAND HEIGHTS
Practice Address - State:CA
Practice Address - Zip Code:91748-3005
Practice Address - Country:US
Practice Address - Phone:626-581-7898
Practice Address - Fax:626-581-3018
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-14
Last Update Date:2012-01-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT11694225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist