Provider Demographics
NPI:1487782710
Name:SCHECTER, CHERYL (PT)
Entity type:Individual
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First Name:CHERYL
Middle Name:
Last Name:SCHECTER
Suffix:
Gender:F
Credentials:PT
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Mailing Address - Street 1:60 COMMERCE PARK
Mailing Address - Street 2:SHORELINE PHYSICAL THERAPY & SPORTS MEDICINE LLC
Mailing Address - City:MILFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06460-3506
Mailing Address - Country:US
Mailing Address - Phone:203-876-7316
Mailing Address - Fax:200-387-6004
Practice Address - Street 1:60 COMMERCE PARK
Practice Address - Street 2:SHORELINE PHYSICAL THERAPY & SPORTS MEDICINE LLC
Practice Address - City:MILFORD
Practice Address - State:CT
Practice Address - Zip Code:06460-3506
Practice Address - Country:US
Practice Address - Phone:203-876-7316
Practice Address - Fax:200-387-6004
Is Sole Proprietor?:No
Enumeration Date:2007-02-28
Last Update Date:2007-07-08
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
CT3498225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CT080001245CT03OtherBLUE CROSS BLUE SHIELD
CT35501OtherCIGNA
CO567709OtherAETNA