Healthcare Provider Details

I. General information

NPI: 1528693793
Provider Name (Legal Business Name): CHERYL LYNN BRAMLETT PT
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/09/2020
Last Update Date: 05/26/2020
Certification Date: 05/26/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5 DUNDAS CIR STE B
GREENSBORO NC
27407-1638
US

IV. Provider business mailing address

1082 DAYLILLY CT
KERNERSVILLE NC
27284-9972
US

V. Phone/Fax

Practice location:
  • Phone: 336-294-3338
  • Fax: 336-294-6696
Mailing address:
  • Phone: 501-681-9044
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License NumberP17034
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code2251P0200X
TaxonomyPediatric Physical Therapist
License NumberP17034
License Number StateNC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: