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MS. CHERYL ANDERSON PTA

>> Physical Therapy Assistant >> Respiratory, Developmental, Rehabilitative and Restorative Service Providers

Registrant NPI Number: 1114172087

Individual Registrant:
MS. CHERYL  ANDERSON PTA
Gender: F
Sole Proprietor

Location and contact information for practice:
8455 S SUNCOAST BLVD  HOMOSASSA, FL 34446-5066 US
Tel: 352-567-5910  Fax: --

Contact information for business:
8455 S SUNCOAST BLVD  HOMOSASSA, FL 34446-5066 US
Tel: 352-567-5910  Fax: --

Registration Information:
NPI: 1114172087
Entity Type: Individual

Specialty information:

PrimaryCodeCategory/DescriptionStateLicense Number
Y225200000XRespiratory, Developmental, Rehabilitative and Restorative Service Providers
Physical Therapy Assistant
FLPTA20122

Legacy codes, insurance codes and state license numbers:

IssuerNumberStateType
MEDICARE ID106898FL01




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