Provider Demographics
NPI:1003340910
Name:CABALLES, CATHERINE JOY (PHYSICAL THERAPIST)
Entity type:Individual
Prefix:
First Name:CATHERINE JOY
Middle Name:
Last Name:CABALLES
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
Other - First Name:CATHERINE JOY
Other - Middle Name:
Other - Last Name:NACES
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PHYSICAL THERAPIST
Mailing Address - Street 1:4041 EASTFORD CT
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-8381
Mailing Address - Country:US
Mailing Address - Phone:704-964-7675
Mailing Address - Fax:
Practice Address - Street 1:4041 EASTFORD CT
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056-8381
Practice Address - Country:US
Practice Address - Phone:704-964-7675
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2017-04-18
Last Update Date:2017-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC12106225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist