NPI | 1588902506 |
---|---|
Former Name | CHERYL ANN COLON |
Entity Type | Individual |
Gender | Female |
Sole Proprietor ? | Yes |
Primary Taxonomy | 225100000X Physical Therapist (Licence: FL 15238) |
Additional Taxonomies | 2251X0800X Physical Therapist, Orthopedic (Licence: FL 15238) |
Enumeration Date | 2013-01-25 |
Last Update Date | 2013-01-25 |