Individual
CHERYL JEANE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
9384 FLORIDA BOULEVARD, SUITE F, WALKER, LA 70785
(225) 791-0911
(225) 791-1977
Mailing address
9384 FLORIDA BLVD, SUITE F, WALKER, LA 70785
(225) 791-0911
(225) 791-1977
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
04489R
LA
Other
Enumeration date
01/23/2007
Last updated
07/08/2007
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