MEDICARE: MRS. CHERI DIAN PHILLIPS PHYSICAL THERAPIST

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
1	225100000X	Physical Therapist	070009626	IL
2	225100000X	Physical Therapist	PT25447	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386747921
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHERI DIAN PHILLIPS PHYSICAL THERAPIST

Provider Business Mailing Address
First Line	:	6977 PROFESSIONAL PKWY E
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34240
Country	:	US
Telephone Number	:	941-758-3140
Fax Number	:	941-870-4891

Provider Business Practice Location Address
First Line	:	6977 PROFESSIONAL PKWY E
Second Line	:
City	:	SARASOTA
State	:	FL
Zip	:	34240
Country	:	US
Telephone Number	:	941-758-3140
Fax Number	:	941-870-4891

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/07/2006
Last Update Date	:	07/17/2013

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