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Individual

MS. CHERYL ANN BETHKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P.T.

Contact information

Practice address
1252 BROADWAY, SUITE B, PLACERVILLE, CA 95667-5806
(530) 622-9410
(530) 622-9445
Mailing address
1252 BROADWAY, SUITE B, PLACERVILLE, CA 95667-5806
(530) 622-9410

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
PT14686
CA

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PT14686
PHYSICAL THERAPY LICENSE
CA
Enumeration date
05/04/2006
Last updated
10/18/2007
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