Provider Demographics
NPI:1649619594
Name:BELL, CHERYL ANN (PTA)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:BELL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:ANN
Other - Last Name:FITZGIBBONS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PTA
Mailing Address - Street 1:8136 SE PALM ST
Mailing Address - Street 2:
Mailing Address - City:HOBE SOUND
Mailing Address - State:FL
Mailing Address - Zip Code:33455-4035
Mailing Address - Country:US
Mailing Address - Phone:561-329-1600
Mailing Address - Fax:772-546-2932
Practice Address - Street 1:8136 SE PALM ST
Practice Address - Street 2:
Practice Address - City:HOBE SOUND
Practice Address - State:FL
Practice Address - Zip Code:33455-4035
Practice Address - Country:US
Practice Address - Phone:561-329-1600
Practice Address - Fax:772-546-2932
Is Sole Proprietor?:Yes
Enumeration Date:2013-06-24
Last Update Date:2013-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCA4823225200000X
FLPTA16981225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant