Provider Demographics
NPI:1326168162
Name:DEFRANCO, CHERI (LPTA)
Entity Type:Individual
Prefix:
First Name:CHERI
Middle Name:
Last Name:DEFRANCO
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:16757 S BOONE RD
Mailing Address - Street 2:
Mailing Address - City:COLUMBIA STATION
Mailing Address - State:OH
Mailing Address - Zip Code:44028-9655
Mailing Address - Country:US
Mailing Address - Phone:440-236-3102
Mailing Address - Fax:
Practice Address - Street 1:18840 FALLING WATER RD
Practice Address - Street 2:
Practice Address - City:STRONGSVILLE
Practice Address - State:OH
Practice Address - Zip Code:44136-4200
Practice Address - Country:US
Practice Address - Phone:440-268-3821
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-29
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH3851225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant