Provider Demographics
NPI:1407188790
Name:LEBEAU COLLINS, CHERYL FLORENCE (PHYSICAL THERAPIST)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:FLORENCE
Last Name:LEBEAU COLLINS
Suffix:
Gender:F
Credentials:PHYSICAL THERAPIST
Other - Prefix:
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Other - Credentials:
Mailing Address - Street 1:833 ROUTE 28
Mailing Address - Street 2:ROUTE 28
Mailing Address - City:SOUTH YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02664-5254
Mailing Address - Country:US
Mailing Address - Phone:508-394-1353
Mailing Address - Fax:508-398-2866
Practice Address - Street 1:833 ROUTE 28
Practice Address - Street 2:ROUTE 28
Practice Address - City:SOUTH YARMOUTH
Practice Address - State:MA
Practice Address - Zip Code:02664-5254
Practice Address - Country:US
Practice Address - Phone:508-394-1353
Practice Address - Fax:508-398-2866
Is Sole Proprietor?:No
Enumeration Date:2010-02-11
Last Update Date:2010-02-13
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MA5821225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist