Individual
MS. CHERYL LINN ALTUM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
13609 CALIFORNIA ST, SUITE 200, OMAHA, NE 68154
(800) 456-5857
(402) 895-7812
Mailing address
1714 N 12TH ST, PEKIN, IL 61554-1763
(309) 642-5962
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
000868
IA
224Z00000X
Occupational Therapy Assistant
Primary
057000938
IL
224Z00000X
Occupational Therapy Assistant
4575
NC
Other
Enumeration date
11/29/2010
Last updated
11/29/2010
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