Provider Demographics
NPI:1871008748
Name:JOSEPH-CHERELUS, SABRINA (PT)
Entity Type:Individual
Prefix:
First Name:SABRINA
Middle Name:
Last Name:JOSEPH-CHERELUS
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SABRINA
Other - Middle Name:
Other - Last Name:JOSEPH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:13460 SW 10TH ST STE 102
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33027-1833
Mailing Address - Country:US
Mailing Address - Phone:305-766-6545
Mailing Address - Fax:954-544-5445
Practice Address - Street 1:13460 SW 10TH ST STE 102
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33027-1833
Practice Address - Country:US
Practice Address - Phone:305-766-6545
Practice Address - Fax:954-544-5445
Is Sole Proprietor?:No
Enumeration Date:2017-12-13
Last Update Date:2018-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT25071225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FLPT25071OtherPT STATE LICENSE