Provider Demographics
NPI:1356549109
Name:SZYMANSKI, CHERI L I (BS OTA/L)
Entity type:Individual
Prefix:
First Name:CHERI
Middle Name:L
Last Name:SZYMANSKI
Suffix:I
Gender:F
Credentials:BS OTA/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:407 FOULK RD
Mailing Address - Street 2:
Mailing Address - City:WILMINGTON
Mailing Address - State:DE
Mailing Address - Zip Code:19803-3809
Mailing Address - Country:US
Mailing Address - Phone:302-655-6249
Mailing Address - Fax:302-655-8645
Practice Address - Street 1:407 FOULK RD
Practice Address - Street 2:
Practice Address - City:WILMINGTON
Practice Address - State:DE
Practice Address - Zip Code:19803-3809
Practice Address - Country:US
Practice Address - Phone:302-655-6249
Practice Address - Fax:302-655-8645
Is Sole Proprietor?:No
Enumeration Date:2007-07-03
Last Update Date:2018-03-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEU2-0000448224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant