Provider Demographics
NPI:1801405451
Name:MCGUIRE, CHERRY ANN (RPT)
Entity Type:Individual
Prefix:
First Name:CHERRY
Middle Name:ANN
Last Name:MCGUIRE
Suffix:
Gender:F
Credentials:RPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7784 LA MIRADA DR
Mailing Address - Street 2:
Mailing Address - City:BOCA RATON
Mailing Address - State:FL
Mailing Address - Zip Code:33433-6138
Mailing Address - Country:US
Mailing Address - Phone:156-190-6136
Mailing Address - Fax:
Practice Address - Street 1:7784 LA MIRADA DR
Practice Address - Street 2:
Practice Address - City:BOCA RATON
Practice Address - State:FL
Practice Address - Zip Code:33433-6138
Practice Address - Country:US
Practice Address - Phone:561-906-1362
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-07-29
Last Update Date:2021-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT25372225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist