Provider Demographics
NPI:1174746390
Name:LARD, CHERYL EVANS (OTR)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:EVANS
Last Name:LARD
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:77 SUE LN
Mailing Address - Street 2:
Mailing Address - City:FARMVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23901-8361
Mailing Address - Country:US
Mailing Address - Phone:434-223-7698
Mailing Address - Fax:
Practice Address - Street 1:5339 HWY 47
Practice Address - Street 2:
Practice Address - City:CHASE CITY
Practice Address - State:VA
Practice Address - Zip Code:23924
Practice Address - Country:US
Practice Address - Phone:434-372-4063
Practice Address - Fax:434-372-4162
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119000059225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist