Basic Information
| Provider Information | |||||||||
| NPI: | 1629152988 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | CAMBRIDGE | ||||||||
| FirstName: | CATHERINE | ||||||||
| MiddleName: | ANN | ||||||||
| NamePrefix: | MS. | ||||||||
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| Credential: | PT,CHT | ||||||||
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| Mailing Information | |||||||||
| Address1: | 1265 WAYNE AVE STE 308 | ||||||||
| Address2: | 119 PROFESSIONAL BUILDING | ||||||||
| City: | INDIANA | ||||||||
| State: | PA | ||||||||
| PostalCode: | 157013501 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7248018095 | ||||||||
| FaxNumber: | 7248018147 | ||||||||
| Practice Location | |||||||||
| Address1: | 3401 BRANDYWINE PARKWAY | ||||||||
| Address2: | SUITE 201 | ||||||||
| City: | WILMINGTON | ||||||||
| State: | DE | ||||||||
| PostalCode: | 198031492 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3024790880 | ||||||||
| FaxNumber: | 3024790550 | ||||||||
| Other Information | |||||||||
| ProviderEnumerationDate: | 10/24/2006 | ||||||||
| LastUpdateDate: | 07/24/2015 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 2251H1200X | J1-000111 | DE | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist | Hand |
ID Information
| ID | Type | State | Issuer | Description | 2786855 | 01 | DE | HIGHMARK | OTHER | 2146033 | 01 | PA | HIGHMARK | OTHER | 3764416000 | 01 | DE | AMERIHEALTH | OTHER | 1629152988 | 05 | DE | MEDICAID | AC44-0032 | 01 | DE | CAREFIRST | OTHER | P01175491 | 01 | DE | MEDICARE RR | OTHER | 3450031 | 05 | MD | MEDICAID |