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Individual

DR. CHERYL L. LANDRY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PT

Contact information

Practice address
626 MCKENDIMEN RD, MEDFORD, NJ 08055-9777
(609) 760-8615
Mailing address
626 MCKENDIMEN RD, MEDFORD, NJ 08055-9777
(609) 760-8615

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
40QA00871000
NJ

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
11776537
CAQH
NJ
Enumeration date
06/20/2006
Last updated
05/21/2013
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