Provider Demographics
NPI:1851594410
Name:BURLEY, CHERYL KING (PT, ATP)
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:KING
Last Name:BURLEY
Suffix:
Gender:F
Credentials:PT, ATP
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3901 NW 96TH AVE
Mailing Address - Street 2:
Mailing Address - City:HOLLYWOOD
Mailing Address - State:FL
Mailing Address - Zip Code:33024-8179
Mailing Address - Country:US
Mailing Address - Phone:954-770-4781
Mailing Address - Fax:
Practice Address - Street 1:3901 NW 96TH AVE
Practice Address - Street 2:
Practice Address - City:HOLLYWOOD
Practice Address - State:FL
Practice Address - Zip Code:33024-8179
Practice Address - Country:US
Practice Address - Phone:954-770-4781
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT2446225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist