Most Relevant Information
Provider Data
| NPI Number: | 1003247644 |
| Provider Name: | SHAREN N CHEATHON PT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | PT40730 |
Most Important Dates
| Enumeration Date: | 12/09/2013 |
| Last Updated: | 12/09/2013 |
Provider Practice Location
2401 W TURNER RD
SUITE 250
LODI
CA
952422182
Practice Location Phone/Fax
| Phone: | 2093342224 |
| Fax: | 2093342225 |
Provider Mailing Location
1106 WALNUT ST
SUITE 110
SAN LUIS OBISPO
CA
934012416
Provider Mailing Phone/Fax
| Phone: | 8057880805 |
| Fax: | 8057880845 |