Individual
CHERYL BURNHAM
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3446 MCKELVEY RD, BRIDGETON, MO 63044-2525
(314) 298-0353
Mailing address
12973 BRYCE CANYON DR APT C, MARYLAND HEIGHTS, MO 63043-4500
(314) 495-9151
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2000165168
LICENSE #
MO
Enumeration date
08/21/2006
Last updated
07/23/2019
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