Provider Demographics
NPI:1174844989
Name:LYNCH, CHERYL R (OT/L)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:R
Last Name:LYNCH
Suffix:
Gender:F
Credentials:OT/L
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:REISCHE
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9 ROCKHILL RD
Mailing Address - Street 2:
Mailing Address - City:ROCKY POINT
Mailing Address - State:NY
Mailing Address - Zip Code:11778-9018
Mailing Address - Country:US
Mailing Address - Phone:914-391-9987
Mailing Address - Fax:
Practice Address - Street 1:9 ROCKHILL RD
Practice Address - Street 2:
Practice Address - City:ROCKY POINT
Practice Address - State:NY
Practice Address - Zip Code:11778-9018
Practice Address - Country:US
Practice Address - Phone:914-391-9987
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-06-15
Last Update Date:2010-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY09059-1225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist