Most Relevant Information
Provider Data
| NPI Number: | 1003036948 |
| Provider Name: | CHERYL LYNN BRACE LPTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A-0419 |
Most Important Dates
| Enumeration Date: | 04/25/2007 |
| Last Updated: | 07/08/2007 |
Provider Practice Location
1221 N MILDRED RD
CORTEZ
CO
813212218
Practice Location Phone/Fax
| Phone: | 9705642600 |
| Fax: |
Provider Mailing Location
PO BOX 482
CORTEZ
CO
813210482
Provider Mailing Phone/Fax
| Phone: | 9705641611 |
| Fax: |