| NPI | 1841526928 |
|---|---|
| Former Name | CHERRY DELL DERECHO REVILLA |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: PA 018261) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 028088) |
| Enumeration Date | 2009-10-26 |
| Last Update Date | 2025-04-07 |