Individual
CHERYL R DODGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
702 NE JENSEN BEACH BLVD, JENSEN BEACH, FL 34957-4752
(772) 225-8908
(772) 225-0843
Mailing address
2044 SW MOCKINGBIRD LN, PALM CITY, FL 34990-2418
(772) 220-1009
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT10645
FL
Other
Enumeration date
11/10/2006
Last updated
06/18/2012
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