Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | 1572-26 | WI |
N | 225XF0002X | Feeding, Eating & Swallowing | 1572-26 | WI |
N | 225XM0800X | Mental Health | 1572-26 | WI |
N | 225XN1300X | Occupational Therapist - Neurorehabilitation | 1572-26 | WI |
N | 225XP0019X | Occupational Therapist - Physical Rehabilitation | 1572-26 | WI |
N | 225XP0200X | Occupational Therapist - Pediatrics | 1572-26 | WI |
NPI | 1306376793 |
---|---|
Provider Name | Mrs. Cheryl Elizabeth Hunt |
First Address | Mount Horeb, WI 53572-0404 |
Second Address | Mount Horeb, WI 53572-2853 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 18/06/2017 |
Last Update Date | 18/06/2017 |