Provider Demographics
NPI:1558425652
Name:CHERUBINO, CYNTHIA (PT)
Entity Type:Individual
Prefix:
First Name:CYNTHIA
Middle Name:
Last Name:CHERUBINO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:200 E 9TH AVE
Mailing Address - Street 2:TOTAL LONGTERM CARE, CAPITOL CENTER
Mailing Address - City:DENVER
Mailing Address - State:CO
Mailing Address - Zip Code:80203-2903
Mailing Address - Country:US
Mailing Address - Phone:303-894-0144
Mailing Address - Fax:
Practice Address - Street 1:200 E 9TH AVE
Practice Address - Street 2:TOTAL LONGTERM CARE, CAPITOL CENTER
Practice Address - City:DENVER
Practice Address - State:CO
Practice Address - Zip Code:80203-2903
Practice Address - Country:US
Practice Address - Phone:303-894-0144
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-12-21
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO4459174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist