Provider Demographics
NPI:1992972871
Name:FROMUTH, CHERYL PAGARAN (PT)
Entity type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:PAGARAN
Last Name:FROMUTH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15 FAWN DR
Mailing Address - Street 2:
Mailing Address - City:READING
Mailing Address - State:PA
Mailing Address - Zip Code:19607-9735
Mailing Address - Country:US
Mailing Address - Phone:610-507-2343
Mailing Address - Fax:610-775-9363
Practice Address - Street 1:1800 TULPEHOCKEN RD
Practice Address - Street 2:BLDG 2
Practice Address - City:WYOMISSING
Practice Address - State:PA
Practice Address - Zip Code:19610-1240
Practice Address - Country:US
Practice Address - Phone:610-478-0402
Practice Address - Fax:610-478-0354
Is Sole Proprietor?:No
Enumeration Date:2008-05-10
Last Update Date:2008-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT015541225100000X
NY014213-1225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist