NPI 1164720504 · live from the CMS NPI Registry
Cherry Aquino-De Lara, PT, DPT
Physical Therapist in Houma, LA. National Provider Identifier 1164720504, active.
NPI record
| NPI | 1164720504 Type 1 · individual |
|---|---|
| Status | Active |
| Primary specialty | Physical Therapist 225100000X |
| Practice location | 1978 Industrial Blvd, Houma, LA 70363 |
| Practice phone | 985-850-2354 |
| Enumerated | March 9, 2011 |
| Last updated | March 9, 2011 |
| Sole proprietor | No |
Taxonomies and licenses
| Taxonomy | Code | License |
|---|---|---|
| Physical Therapist primary | 225100000X | 02595F (LA) |
Source: CMS NPPES NPI Registry. NPI data is self-reported by providers; license numbers are not verified by CMS.