Provider Demographics
NPI:1457501348
Name:MANDEL, CHERYL L
Entity Type:Individual
Prefix:MS
First Name:CHERYL
Middle Name:L
Last Name:MANDEL
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:582 WINDSOR SQ
Mailing Address - Street 2:APT 102
Mailing Address - City:NAPLES
Mailing Address - State:FL
Mailing Address - Zip Code:34104-8910
Mailing Address - Country:US
Mailing Address - Phone:954-649-0508
Mailing Address - Fax:
Practice Address - Street 1:582 WINDSOR SQ
Practice Address - Street 2:APT 102
Practice Address - City:NAPLES
Practice Address - State:FL
Practice Address - Zip Code:34104-8910
Practice Address - Country:US
Practice Address - Phone:954-649-0508
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-09-26
Last Update Date:2021-03-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL0002748225XH1200X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
No225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist