Doctor Name: | CHERYL R DODGE |
NPI Number: | 1659442929 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | P.T. |
License Number: | PT10645 |
Business Practice Address: | 702 Ne Jensen Beach Blvd Jensen Beach, FL - 349574752 |
Business Phone Number: | 7722258908 |
Business Fax Number: | 7722250843 |
Mailing Address: | 2044 Sw Mockingbird Ln, PALM CITY |
State: | FL |
Postal Code: | 349902418 |
Phone Number: | 7722201009 |
Fax Number: | |
NPI Enumeration Date: | 11/10/2006 |
NPI Last Update Date: | 06/18/2012 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | PT10645 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | FL |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |