Individual
MRS. ANDREA CHEATHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1779 2ND AVE, APT. 12C, NEW YORK, NY 10128-3613
(917) 414-5075
Mailing address
1779 2ND AVE, APT. 12C, NEW YORK, NY 10128-3613
(917) 414-5075
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012653-1
NY
Other
Enumeration date
10/11/2006
Last updated
08/26/2014
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