Individual
CHERRYL CONCHA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1819 PROVIDENCE RIDGE BLVD, BRANDON, FL 33511-1899
(813) 657-8587
Mailing address
13303 WELLINGTON HILLS DR, RIVERVIEW, FL 33579-7201
(727) 667-8870
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT24516
FL
Other
Enumeration date
06/25/2024
Last updated
06/25/2024
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