Provider Demographics
NPI:1780200287
Name:CAHILL, ANNE TERESA (MS, OTR/L)
Entity Type:Individual
Prefix:
First Name:ANNE
Middle Name:TERESA
Last Name:CAHILL
Suffix:
Gender:F
Credentials:MS, 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:PO BOX 229
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:IN
Mailing Address - Zip Code:47202-0229
Mailing Address - Country:US
Mailing Address - Phone:864-395-6920
Mailing Address - Fax:
Practice Address - Street 1:410 6TH ST STE 204
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:IN
Practice Address - Zip Code:47201-1915
Practice Address - Country:US
Practice Address - Phone:864-395-6920
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-06-19
Last Update Date:2023-09-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
SC4547225X00000X
IN31007175A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Single Specialty