| NPI | 1659389195 |
|---|---|
| Former Name | CHERYL ANN CHAMPAGNE |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: VA 2305212124) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MD 22086) |
| 225100000X Physical Therapist (Licence: WY PT1003) | |
| 225100000X Physical Therapist (Licence: WA PT60416675) | |
| Enumeration Date | 2006-08-03 |
| Last Update Date | 2022-12-23 |