Provider Demographics
NPI:1558558718
Name:ZWERENZ, CHERYL A (OTR)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:A
Last Name:ZWERENZ
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:AILEEN
Other - Last Name:PASSANISI
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OT
Mailing Address - Street 1:344 NE PARKS EDGE DR
Mailing Address - Street 2:
Mailing Address - City:LEES SUMMIT
Mailing Address - State:MO
Mailing Address - Zip Code:64064-1269
Mailing Address - Country:US
Mailing Address - Phone:816-305-6414
Mailing Address - Fax:
Practice Address - Street 1:344 NE PARKS EDGE DR
Practice Address - Street 2:
Practice Address - City:LEES SUMMIT
Practice Address - State:MO
Practice Address - Zip Code:64064-1269
Practice Address - Country:US
Practice Address - Phone:816-305-6414
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-10-01
Last Update Date:2024-02-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO004817225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand