| 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 |