Provider Demographics
NPI:1396531729
Name:DUMAS, CHERRY ROSE ELIASOS (DPT)
Entity type:Individual
Prefix:
First Name:CHERRY ROSE
Middle Name:ELIASOS
Last Name:DUMAS
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4404 EMDEN ST
Mailing Address - Street 2:
Mailing Address - City:SILVER SPRING
Mailing Address - State:MD
Mailing Address - Zip Code:20906-4755
Mailing Address - Country:US
Mailing Address - Phone:240-461-6275
Mailing Address - Fax:
Practice Address - Street 1:4404 EMDEN ST
Practice Address - Street 2:
Practice Address - City:SILVER SPRING
Practice Address - State:MD
Practice Address - Zip Code:20906-4755
Practice Address - Country:US
Practice Address - Phone:240-461-6275
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-04-15
Last Update Date:2025-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD23270261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy