Provider Demographics
NPI:1831827096
Name:ECKER, CHERYL LANAE (OTR/L)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:LANAE
Last Name:ECKER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:CHERYL
Other - Middle Name:LANAE
Other - Last Name:JOHNSON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:OTR/L
Mailing Address - Street 1:18522 OXNARD ST
Mailing Address - Street 2:
Mailing Address - City:TARZANA
Mailing Address - State:CA
Mailing Address - Zip Code:91356
Mailing Address - Country:US
Mailing Address - Phone:818-708-2292
Mailing Address - Fax:818-708-2298
Practice Address - Street 1:18522 OXNARD ST
Practice Address - Street 2:
Practice Address - City:TARZANA
Practice Address - State:CA
Practice Address - Zip Code:91356
Practice Address - Country:US
Practice Address - Phone:818-708-2292
Practice Address - Fax:818-708-2298
Is Sole Proprietor?:No
Enumeration Date:2022-08-15
Last Update Date:2022-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA2462225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics