Individual
CHEYENNE STIRKS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5727 CEDAR PARK LN, JACKSONVILLE, FL 32210-5246
(904) 662-2545
Mailing address
14664 FERN HAMMOCK DR, JACKSONVILLE, FL 32258-5128
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT18891
FL
Other
Enumeration date
02/21/2018
Last updated
01/25/2023
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