Gina Marie Cherico, PT, DPT
Physical Therapist in Pooler, GA. Individual provider (NPI-1).
NPI number1679974745
StatusActive
Last updated in NPPESDec 21, 2020
Details
- NPI
- 1679974745
- Entity type
- Individual (NPI-1)
- Name
- Gina Marie Cherico
- Credential
- PT, DPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Sep 9, 2014
- Certification date
- Dec 21, 2020
- Last updated
- Dec 21, 2020
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | PT36278 | FL | Yes |
| 225100000X | Physical Therapist | 15181 | NC | |
| 225100000X | Physical Therapist | PT013235 | GA |
Practice location
119 Canal St Ste 104Pooler, GA 31322-4094
Phone 912-330-8444 · Fax 912-332-8844
Mailing address
1950 Bluewater BlvdSte 101
Niceville, FL 32578-3888
Phone 423-238-7217 · Fax 423-362-8684
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