Individual
CATHERINE GAYLE CARRABRE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
501 S MAPLE ST, WACONIA, MN 55387-1715
(952) 442-2163
(952) 442-5903
Mailing address
6465 WAYZATA BLVD, SUITE 900, ST LOUIS PARK, MN 55426-1728
(952) 512-5600
(952) 512-5650
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
5307
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
6406102
MEDICA
—
01
—
86G22CA
BLUE CROSS BLUE SHIELD
—
01
—
969991030949
PREFERREDONE
—
01
—
HP59174
HEALTHPARTNERS
—
Enumeration date
12/27/2006
Last updated
07/10/2007
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