Provider Demographics
NPI:1497971055
Name:BELORO, CHERYL DIMAPASOC (PT, DPT, OCS)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:DIMAPASOC
Last Name:BELORO
Suffix:
Gender:F
Credentials:PT, DPT, OCS
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:LEANN
Other - Last Name:DIMAPASOC
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT, OCS
Mailing Address - Street 1:15405 HYDRANGEA LN
Mailing Address - Street 2:
Mailing Address - City:FONTANA
Mailing Address - State:CA
Mailing Address - Zip Code:92336-0221
Mailing Address - Country:US
Mailing Address - Phone:909-957-8797
Mailing Address - Fax:
Practice Address - Street 1:11276 5TH ST
Practice Address - Street 2:STE 400 & 450
Practice Address - City:RANCHO CUCAMONGA
Practice Address - State:CA
Practice Address - Zip Code:91730-0921
Practice Address - Country:US
Practice Address - Phone:909-481-0437
Practice Address - Fax:909-481-0837
Is Sole Proprietor?:No
Enumeration Date:2007-04-18
Last Update Date:2010-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT30012225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT 30012OtherPHYSICAL THERAPY BOARD OF CALIFORNIA
CAPT 30012OtherPHYSICAL THERAPY BOARD OF CALIFORNIA