Provider Demographics
NPI:1972657237
Name:HALL, CHERI LYNN (PT)
Entity Type:Individual
Prefix:MRS
First Name:CHERI
Middle Name:LYNN
Last Name:HALL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MISS
Other - First Name:CHERI
Other - Middle Name:LYNN
Other - Last Name:GREEN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:109 ARLEN PARK DR
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27516-9195
Mailing Address - Country:US
Mailing Address - Phone:919-969-9557
Mailing Address - Fax:
Practice Address - Street 1:3602 TRAIL 23
Practice Address - Street 2:
Practice Address - City:DURHAM
Practice Address - State:NC
Practice Address - Zip Code:27707-5156
Practice Address - Country:US
Practice Address - Phone:919-489-7771
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-01-23
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC8836225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist