Individual
CHERYL R JABARA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
8700 E 29TH STREET NORTH, WICHITA, KS 67226-2169
(316) 634-8710
(316) 634-8850
Mailing address
8700 E 29TH STREET NORTH, WICHITA, KS 67226-2169
(316) 634-8710
(316) 634-8850
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
1103391
KS
2251P0200X
Pediatric Physical Therapist
1103391
KS
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
140929
BCBS
KS
01
—
OOS28826
PHS
KS
Enumeration date
10/06/2006
Last updated
08/16/2007
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