Provider Demographics
NPI:1265666986
Name:YARCHUK, CHERYL A (OTR/L)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:YARCHUK
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:2780 N FLORIDA AVE
Mailing Address - Street 2:UNIT 1 HERNANDO PLAZA
Mailing Address - City:HERNANDO
Mailing Address - State:FL
Mailing Address - Zip Code:34442-4390
Mailing Address - Country:US
Mailing Address - Phone:877-773-7123
Mailing Address - Fax:877-773-7123
Practice Address - Street 1:2780 N FLORIDA AVE
Practice Address - Street 2:UNIT 1 HERNANDO PLAZA
Practice Address - City:HERNANDO
Practice Address - State:FL
Practice Address - Zip Code:34442-4390
Practice Address - Country:US
Practice Address - Phone:877-773-7123
Practice Address - Fax:877-773-7123
Is Sole Proprietor?:No
Enumeration Date:2009-05-09
Last Update Date:2017-01-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY009619-1225XP0200X
FLOT18040225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist