Provider Demographics
NPI:1376622654
Name:VORICK, CHERYL ALICE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:ALICE
Last Name:VORICK
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8506 SHORTHORN DR
Mailing Address - Street 2:
Mailing Address - City:SAGAMORE HILLS
Mailing Address - State:OH
Mailing Address - Zip Code:44067-3229
Mailing Address - Country:US
Mailing Address - Phone:330-888-9024
Mailing Address - Fax:
Practice Address - Street 1:2106 BRAEWICK CIR
Practice Address - Street 2:#103
Practice Address - City:AKRON
Practice Address - State:OH
Practice Address - Zip Code:44313-6262
Practice Address - Country:US
Practice Address - Phone:330-805-4886
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-06
Last Update Date:2015-12-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH008598225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH008598OtherOCCUPATIONAL THERAPIST LICENSED