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Individual

MRS. CHERYL ANN REMICK

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MPT

Contact information

Practice address
1033 CHAMPIONS WAY STE 500, SUFFOLK, VA 23435-3775
(757) 372-9953
(757) 372-9954
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 373-2919
(410) 648-4878

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22086
MD
225100000X
Physical Therapist
Primary
2305212124
VA
225100000X
Physical Therapist
PT1003
WY
225100000X
Physical Therapist
PT60416675
WA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
0329640
WA L&I
WA
01
0329641
WA L&I
WA
05
119289200
WY
05
2038755
WA
01
311755
BLUE CROSS BLUE SHIELD
WY
01
P01478265
RR MEDICARE PTAN
WA
Enumeration date
08/03/2006
Last updated
12/23/2022
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