Provider Demographics
NPI:1033313929
Name:BROWN, CHERIE (MSPT)
Entity Type:Individual
Prefix:
First Name:CHERIE
Middle Name:
Last Name:BROWN
Suffix:
Gender:F
Credentials:MSPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7732 E SANTIAGO CANYON RD
Mailing Address - Street 2:
Mailing Address - City:ORANGE
Mailing Address - State:CA
Mailing Address - Zip Code:92869-1829
Mailing Address - Country:US
Mailing Address - Phone:714-771-5276
Mailing Address - Fax:714-771-1452
Practice Address - Street 1:7732 E SANTIAGO CANYON RD
Practice Address - Street 2:
Practice Address - City:ORANGE
Practice Address - State:CA
Practice Address - Zip Code:92869-1829
Practice Address - Country:US
Practice Address - Phone:714-771-5276
Practice Address - Fax:714-771-1452
Is Sole Proprietor?:No
Enumeration Date:2007-06-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT20543225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist