Cheyenne Renee Durham, OT

NPI #1316412000 in Edwardsville, Illinois

Provider Information

NPI Number: 1316412000
Entity Type: Individual
Name: Cheyenne Renee Durham, OT
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Occupational Therapist
Credential: OT
Enumeration Date: Oct 9, 2018
Last Updated: Mar 12, 2024

Practice Location

Address: 1047 CENTURY DR
City: Edwardsville
State: Illinois
ZIP Code: 62025-3772
Phone: (618) 307-3434

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Counselor	101Y00000X
Occupational Therapist	225X00000X	Primary

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