Provider Demographics
NPI:1245668565
Name:FORD, CATHLEEN MARGARET (PT)
Entity type:Individual
Prefix:MS
First Name:CATHLEEN
Middle Name:MARGARET
Last Name:FORD
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Gender:F
Credentials:PT
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Mailing Address - Street 1:101 MANNING DR
Mailing Address - Street 2:DEPARTMENT OF PT/OT
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27514-4220
Mailing Address - Country:US
Mailing Address - Phone:919-595-9635
Mailing Address - Fax:919-966-0348
Practice Address - Street 1:163 MEDICAL PARK DR
Practice Address - Street 2:SUITE 120
Practice Address - City:SILER CITY
Practice Address - State:NC
Practice Address - Zip Code:27344-6790
Practice Address - Country:US
Practice Address - Phone:919-799-4690
Practice Address - Fax:919-799-4891
Is Sole Proprietor?:No
Enumeration Date:2013-10-23
Last Update Date:2014-10-01
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Provider Licenses
StateLicense IDTaxonomies
NC14357225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist