National Provider Identifier
Cheryl M Moore, PT
Cheryl M Moore, PT is listed in the NPPES registry with a primary specialty of Pediatric Physical Therapist in Ithaca, NY and a listed phone number of (607) 272-5891.
Profile Overview
- NPI
- 1679791511
- Provider Type
- Individual
- Primary Specialty
- Pediatric Physical Therapist
- Enumeration Date
- April 24, 2007
- Last Updated
- July 08, 2007
Practice Location
- 3226 Wilkins RD
- Ithaca, NY 14850-9568
Phone: (607) 272-5891
Mailing Address
- 49 Caroline Depot RD
- Brooktondale, NY 14817-9797
Specialties
- Pediatric Physical Therapist (2251P0200X)
Full Record
- NPI
- 1679791511
- Entity Type
- Individual
- Last Name
- Moore
- First Name
- Cheryl
- Middle Name
- M
- Credential
- PT
- Mailing Street Address
- 49 Caroline Depot RD
- Mailing City
- Brooktondale
- Mailing State
- NY
- Mailing ZIP Code
- 14817-9797
- Mailing Country
- US
- Mailing Phone
- (607) 539-7442
- Practice Street Address
- 3226 Wilkins RD
- Practice City
- Ithaca
- Practice State
- NY
- Practice ZIP Code
- 14850-9568
- Practice Country
- US
- Practice Phone
- (607) 272-5891
- Enumeration Date
- April 24, 2007
- Last Updated
- July 08, 2007
- Sex
- Female
- Sole Proprietor
- No
- updated_by_file
- npidata_pfile_20050523-20260308.csv
- Taxonomies
- Pediatric Physical Therapist (2251P0200X)