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Individual

CHERRYL PLAZA LOGAN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
25 LIBERTY SQUARE MALL, STONY POINT, NY 10980-2400
(845) 738-7383
(845) 576-0069
Mailing address
17A AUGUSTA ST, DENVILLE, NJ 07834-1612
(201) 400-6080

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
045288-01
NY

Other

Enumeration date
02/13/2020
Last updated
02/13/2020
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