Provider Demographics
NPI:1295917284
Name:CHENG, CHERRILYN QUIEC (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CHERRILYN
Middle Name:QUIEC
Last Name:CHENG
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:11105 KNOTT AVE STE A
Mailing Address - Street 2:
Mailing Address - City:CYPRESS
Mailing Address - State:CA
Mailing Address - Zip Code:90630-5137
Mailing Address - Country:US
Mailing Address - Phone:626-375-2946
Mailing Address - Fax:
Practice Address - Street 1:11105 KNOTT AVE
Practice Address - Street 2:
Practice Address - City:CYPRESS
Practice Address - State:CA
Practice Address - Zip Code:90630-5137
Practice Address - Country:US
Practice Address - Phone:714-893-7399
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-11-30
Last Update Date:2010-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6847101Y00000X
CAOT CA 6847225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics
No101Y00000XBehavioral Health & Social Service ProvidersCounselor