Individual
CHERYL LASSELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
070.010640
IL
225100000X
Physical Therapist
11-01243
KS
225100000X
Physical Therapist
1134039
TX
225100000X
Physical Therapist
19444
CA
225100000X
Physical Therapist
Primary
5876-24
WI
Other
Enumeration date
04/30/2012
Last updated
04/30/2012
Update your record
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