Individual
MRS. SHERYLL DAWN KUTCHER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3465 BOX HILL CORPORATE CENTER DR, SUITE G, ABINGDON, MD 21009-1261
(410) 569-4806
(410) 569-5474
Mailing address
6201 GREENLEIGH AVE FL 2, MIDDLE RIVER, MD 21220-2004
(410) 933-2704
(410) 500-4266
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
02779
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0007857635
AETNA
MD
01
—
2144336
ALLIANCE
MD
01
—
350342400
OWCP
MD
05
—
401764100
—
MD
01
—
4846270001
DME POS ASSIGNED
MD
01
—
51647
USFHP, KAISER, EHP
MD
01
—
522248150
CIGNA, COVENTRY, IHP
MD
01
—
61230802
BCBS
MD
01
—
P00292193
MEDICARE RAILROAD
PW
01
—
T121-0008
FED BCBS, BLUECHOICE
MD
Enumeration date
06/14/2006
Last updated
12/24/2024
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