Provider Demographics
NPI:1881122380
Name:ONEAL, CHEYENNE CHEREE (OTR/L)
Entity type:Individual
Prefix:
First Name:CHEYENNE
Middle Name:CHEREE
Last Name:ONEAL
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 1:8812 HANDEL LOOP
Mailing Address - Street 2:
Mailing Address - City:LAND O' LAKES
Mailing Address - State:FL
Mailing Address - Zip Code:34637
Mailing Address - Country:US
Mailing Address - Phone:813-679-9237
Mailing Address - Fax:
Practice Address - Street 1:8812 HANDEL LOOP
Practice Address - Street 2:
Practice Address - City:LAND O LAKES
Practice Address - State:FL
Practice Address - Zip Code:34637-5821
Practice Address - Country:US
Practice Address - Phone:813-679-9237
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2017-05-27
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT10098225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGroup - Multi-Specialty