Cherry Aquino-de Lara, PT, DPT
Individual provider Active NPI Physical Therapist · Houma, LA
NPI 1164720504 · NPPES record last updated Mar 9, 2011
Key facts
- NPI
- 1164720504
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapist 225100000X
- License
- 02595F (LA)
- Practice address
- 1978 Industrial Blvd
Houma, LA 70363-7055 - Phone
- (985) 850-2354
- Fax
- (985) 850-2355
- NPI assigned
- Mar 9, 2011
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| 02595F | LA | MD | Physical Therapist |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapist | 225100000X | 02595F | LA | Yes |
Addresses
Primary practice location
1978 Industrial Blvd
Houma, LA 70363-7055
Mailing address
1978 Industrial Blvd
Houma, LA 70363-7055
Other providers in Houma, LA
- Anointed Angels Homecare, LLC
- Anointed Care Services, LLC
- Anointed Care Services, LLC
- Troy William Antill
- Somtochukwu Anyanwu
- Adam Joseph Arcement
- Angie Durham Arcement
- Lee M Arcement
- Todd Arcement
- Adam Arceneaux
All providers in Houma, LA · Physical Therapist in Louisiana
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Mar 9, 2011. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.