Provider Demographics
NPI:1750466736
Name:DEMAS, CHERYL JOAN (PT)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:JOAN
Last Name:DEMAS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
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Other - Credentials:
Mailing Address - Street 1:12871 WESTHORPE DR
Mailing Address - Street 2:
Mailing Address - City:HOUSTON
Mailing Address - State:TX
Mailing Address - Zip Code:77077-3736
Mailing Address - Country:US
Mailing Address - Phone:281-741-2717
Mailing Address - Fax:
Practice Address - Street 1:13150 FM 529 RD STE 114
Practice Address - Street 2:
Practice Address - City:HOUSTON
Practice Address - State:TX
Practice Address - Zip Code:77041-2303
Practice Address - Country:US
Practice Address - Phone:713-896-1815
Practice Address - Fax:713-896-1853
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2009-10-06
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
TX1143097225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist