Custard, Cheryl

Custard, Cheryl is an individual health care provider with primary practice located at 5606 S 147Th St , Omaha NE 68137-2648. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist, which is considered as her primary health care specialty. Custard, Cheryl can be contacted via phone (402) 715-6335.

Contact Information

Primary practice address
5606 S 147Th St Omaha NE 68137-2648
Phone: (402) 715-6335
Fax:
Website:
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Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapist 225X00000X 437 Nebraska

Profile Details

NPI number 1023480969
LBN Legal business name Custard, Cheryl
Credentials OTR/L, OTD
Entity Individual
Sole proprietor 1 No
Enumeration date Oct 29th, 2015
Last updated Oct 29th, 2015 - about 10 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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Identifiers

StateTypeNumberIssuer
All States NPI 1023480969 NPPES
Nebraska Other 437 NE STATE LICENSE

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