Individual
MS. CHERYL AVA SHACHAF
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
5710 BAKER RD, MINNETONKA, MN 55345-5901
(612) 790-3620
Mailing address
701 MAIN ST SE APT 422, MINNEAPOLIS, MN 55414-2950
(612) 483-2650
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
101806
MN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A643748601
UMPI
MN
Enumeration date
05/22/2007
Last updated
10/11/2019
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