Provider Demographics
NPI:1275170870
Name:ANDREWS, CHERINE LISA (OT)
Entity Type:Individual
Prefix:MRS
First Name:CHERINE
Middle Name:LISA
Last Name:ANDREWS
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 SHAMROCK DR
Mailing Address - Street 2:
Mailing Address - City:VENTURA
Mailing Address - State:CA
Mailing Address - Zip Code:93003-1023
Mailing Address - Country:US
Mailing Address - Phone:805-415-4054
Mailing Address - Fax:805-981-4455
Practice Address - Street 1:2100 OUTLET CENTER DR
Practice Address - Street 2:
Practice Address - City:OXNARD
Practice Address - State:CA
Practice Address - Zip Code:93036-0612
Practice Address - Country:US
Practice Address - Phone:805-988-2667
Practice Address - Fax:805-981-4455
Is Sole Proprietor?:No
Enumeration Date:2019-12-03
Last Update Date:2019-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6371225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation