Provider Demographics
NPI:1619217221
Name:RAIKIN, CHERI FAYE (OTD, MS, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:CHERI
Middle Name:FAYE
Last Name:RAIKIN
Suffix:
Gender:F
Credentials:OTD, MS, OTR/L
Other - Prefix:
Other - First Name:CHERI
Other - Middle Name:FAYE
Other - Last Name:BERGER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:40 OLD LANCASTER RD APT 406
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1762
Mailing Address - Country:US
Mailing Address - Phone:908-216-1580
Mailing Address - Fax:
Practice Address - Street 1:40 OLD LANCASTER RD APT 406
Practice Address - Street 2:
Practice Address - City:MERION STATION
Practice Address - State:PA
Practice Address - Zip Code:19066-1762
Practice Address - Country:US
Practice Address - Phone:908-216-1580
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2013-02-19
Last Update Date:2022-10-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY017857225X00000X
NJ46TR00611300225X00000X
PAOC018350225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist