Provider Demographics
NPI:1396907457
Name:FERGUSON, CHERYL (OTR/L)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:FERGUSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:MISS
Other - First Name:CHERYL
Other - Middle Name:
Other - Last Name:MACGREGOR
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:81 WOODLAWN DRIVE
Mailing Address - Street 2:
Mailing Address - City:SYDNEY
Mailing Address - State:NOVA SCOTIA
Mailing Address - Zip Code:B1S 1H8
Mailing Address - Country:CA
Mailing Address - Phone:902-562-6683
Mailing Address - Fax:
Practice Address - Street 1:3305 S ORANGE AVE
Practice Address - Street 2:
Practice Address - City:ORLANDO
Practice Address - State:FL
Practice Address - Zip Code:32806-6125
Practice Address - Country:US
Practice Address - Phone:407-852-3300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-06-30
Last Update Date:2008-06-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 13189225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics