Provider Demographics
NPI:1467862615
Name:CHERIAN, PREETH JOHN (PT,DPT)
Entity Type:Individual
Prefix:
First Name:PREETH
Middle Name:JOHN
Last Name:CHERIAN
Suffix:
Gender:M
Credentials:PT,DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3811 BRIDGET ST
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78539-3106
Mailing Address - Country:US
Mailing Address - Phone:956-720-8549
Mailing Address - Fax:956-994-9128
Practice Address - Street 1:3201 N WARE RD
Practice Address - Street 2:BRIARCLIFF NURSING AND REHABILITATION CENTRE
Practice Address - City:MCALLEN
Practice Address - State:TX
Practice Address - Zip Code:78501-3305
Practice Address - Country:US
Practice Address - Phone:956-720-8549
Practice Address - Fax:956-994-9128
Is Sole Proprietor?:Yes
Enumeration Date:2014-04-28
Last Update Date:2014-12-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1172439225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist