Individual
CHEYENNE W PETERSON-GURAK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
Mailing address
12276 SAN JOSE BLVD STE 508, JACKSONVILLE, FL 32223-8618
(904) 886-3228
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
65839
FL
Other
Enumeration date
10/29/2025
Last updated
10/29/2025
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