Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251N0400X | Physical Therapist - Neurology | PT 11133 | CA |
NPI | 1558429589 |
---|---|
Provider Name | Ms. Cheryl Denise Pierson |
First Address | Fremont, CA 94538-2310 |
Second Address | Fremont, CA 94538-2310 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 04/12/2006 |
Last Update Date | 28/08/2012 |