Healthcare Provider Details

I. General information

NPI: 1962322867
Provider Name (Legal Business Name): CHERYL BEN-DAVID PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 07/20/2026
Last Update Date: 07/20/2026
Certification Date: 07/20/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9 EVENS DR
CANTON CT
06019-2484
US

IV. Provider business mailing address

9 EVENS DR
CANTON CT
06019-2484
US

V. Phone/Fax

Practice location:
  • Phone: 914-400-4702
  • Fax:
Mailing address:
  • Phone: 914-400-4702
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number012563
License Number StateCT

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: