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NPI Code Detail

MEDICARE: CHERYL DIMACALI

MEDICARE: CHERYL DIMACALI
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1224Z00000XOccupational Therapy Assistant

General Provider Information

NPI Number : 1144709866
Entity Type Code : Individual
Provider Name (Legal Business Name) : CHERYL DIMACALI
Provider Business Mailing Address
First Line : 2101 GREENHOUSE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77084-6108
Country : US
Telephone Number : 281-599-5440
Fax Number :
Provider Business Practice Location Address
First Line : 2101 GREENHOUSE RD
Second Line :
City : HOUSTON
State : TX
Zip : 77084-6108
Country : US
Telephone Number : 281-599-5440
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 08/13/2018
Last Update Date : 08/13/2018

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Directions to “ CHERYL DIMACALI ” Practice Location

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