Provider Demographics
NPI:1639890767
Name:URMY, CHERYL JOAN (OTD, OTR/L)
Entity Type:Individual
Prefix:DR
First Name:CHERYL
Middle Name:JOAN
Last Name:URMY
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4512 LODGEPOLE DR
Mailing Address - Street 2:
Mailing Address - City:VIRGINIA BEACH
Mailing Address - State:VA
Mailing Address - Zip Code:23462-4716
Mailing Address - Country:US
Mailing Address - Phone:757-355-1585
Mailing Address - Fax:
Practice Address - Street 1:4512 LODGEPOLE DR
Practice Address - Street 2:
Practice Address - City:VIRGINIA BEACH
Practice Address - State:VA
Practice Address - Zip Code:23462-4716
Practice Address - Country:US
Practice Address - Phone:757-355-1585
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-09-07
Last Update Date:2022-09-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119-009596225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist