Most Relevant Information
Provider Data
| NPI Number: | 1003223975 |
| Provider Name: | MA SHERYLL CO |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 40QA01229000 |
Most Important Dates
| Enumeration Date: | 07/12/2014 |
| Last Updated: | 07/12/2014 |
Provider Practice Location
1400 WOODLAND AVE
PLAINFIELD
NJ
070603362
Practice Location Phone/Fax
| Phone: | 9087531113 |
| Fax: |
Provider Mailing Location
49 SAGAMORE AVE
EDISON
NJ
088202977
Provider Mailing Phone/Fax
| Phone: | |
| Fax: |