Individual
MS. CHERYL LYNNE BOOP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
255 E MAIN ST, COLUMBUS, OH 43215-5222
(614) 722-2690
Mailing address
4013 BASSWOOD AVE, GROVE CITY, OH 43123-9265
(706) 614-1682
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT008427
OH
225XP0200X
Pediatric Occupational Therapist
OT003195
GA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
596798250A
—
GA
Enumeration date
12/18/2006
Last updated
07/29/2016
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