Provider Demographics
NPI:1831374354
Name:PELAYO, SHERYL JOSE (PT)
Entity type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:JOSE
Last Name:PELAYO
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
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Mailing Address - Street 1:3290 N RIDGE RD
Mailing Address - Street 2:STE 290
Mailing Address - City:ELLICOTT CITY
Mailing Address - State:MD
Mailing Address - Zip Code:21043-3655
Mailing Address - Country:US
Mailing Address - Phone:410-750-9006
Mailing Address - Fax:410-750-0787
Practice Address - Street 1:1650 MEDICAL LN
Practice Address - Street 2:SUITE 4
Practice Address - City:FORT MYERS
Practice Address - State:FL
Practice Address - Zip Code:33907-1116
Practice Address - Country:US
Practice Address - Phone:239-277-9819
Practice Address - Fax:239-277-9829
Is Sole Proprietor?:Yes
Enumeration Date:2008-01-03
Last Update Date:2008-01-03
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
FL23704225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist