Tirtowidjojo, Cheryl

Tirtowidjojo, Cheryl is an sole proprietor health care provider with primary practice located at 110 Rosewood St , Lake Jackson TX 77566-4937. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer, which is considered as her primary health care specialty. Tirtowidjojo, Cheryl can be contacted via phone (979) 665-5953.

Contact Information

Primary practice address
110 Rosewood St Lake Jackson TX 77566-4937
Phone: (979) 665-5953
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Athletic Trainer 2255A2300X

Profile Details

NPI number 1346839719
LBN Legal business name Tirtowidjojo, Cheryl
Credentials
Entity Individual
Sole proprietor 1 Yes
Enumeration date Jan 11th, 2021
Last updated Jan 11th, 2021 - about 5 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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