Provider Demographics
NPI:1346524436
Name:ESTOESTA, CHERYL C (PHYSICAL THERAPY)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:C
Last Name:ESTOESTA
Suffix:
Gender:F
Credentials:PHYSICAL THERAPY
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:1860 EL CAMINO REAL
Mailing Address - Street 2:STE 420
Mailing Address - City:BURLINGAME
Mailing Address - State:CA
Mailing Address - Zip Code:94010-3117
Mailing Address - Country:US
Mailing Address - Phone:650-652-2376
Mailing Address - Fax:650-652-2376
Practice Address - Street 1:5050 AVENIDA ENCINAS
Practice Address - Street 2:SUITE# 250
Practice Address - City:CARLSBAD
Practice Address - State:CA
Practice Address - Zip Code:92008-4381
Practice Address - Country:US
Practice Address - Phone:760-729-5433
Practice Address - Fax:760-621-5680
Is Sole Proprietor?:Yes
Enumeration Date:2011-10-06
Last Update Date:2017-10-05
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
CAPT 37723225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist