Provider Demographics
NPI:1699110718
Name:RUPER, CHERYL (DPT)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:
Last Name:RUPER
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:E
Other - Last Name:HOOPES
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:220 MEMORIAL AVE
Mailing Address - Street 2:
Mailing Address - City:HADDONFIELD
Mailing Address - State:NJ
Mailing Address - Zip Code:08033-2956
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:220 MEMORIAL AVE
Practice Address - Street 2:
Practice Address - City:HADDONFIELD
Practice Address - State:NJ
Practice Address - Zip Code:08033-2956
Practice Address - Country:US
Practice Address - Phone:856-858-2103
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2013-05-02
Last Update Date:2023-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA01317700225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist