Individual
MISS CHERYL BETHANY SUSHEREBA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8278 OLENTANGY RIVER RD, COLUMBUS, OH 43235-1308
(814) 648-1707
Mailing address
8278 OLENTANGY RIVER RD, COLUMBUS, OH 43235-1308
(814) 648-1707
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA011538
OH
225200000X
Physical Therapy Assistant
TE011418
PA
Other
Enumeration date
10/11/2017
Last updated
10/11/2017
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