Provider Demographics
NPI:1821182064
Name:ALBRIGHT, CHERYL L (BS)
Entity Type:Individual
Prefix:
First Name:CHERYL
Middle Name:L
Last Name:ALBRIGHT
Suffix:
Gender:F
Credentials:BS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3210 46TH DR E
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34203-3953
Mailing Address - Country:US
Mailing Address - Phone:941-702-2035
Mailing Address - Fax:
Practice Address - Street 1:40 SARASOTA CENTER BLVD
Practice Address - Street 2:STE 101
Practice Address - City:SARASOTA
Practice Address - State:FL
Practice Address - Zip Code:34240-8758
Practice Address - Country:US
Practice Address - Phone:941-702-2035
Practice Address - Fax:941-201-1639
Is Sole Proprietor?:No
Enumeration Date:2006-10-03
Last Update Date:2020-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL)T16634225X00000X
NV11-0144225X00000X
AZ5312225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NY30-0213081OtherTAX ID