MEDICARE: CHERYL M SALERNO OT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT813	FL

General Provider Information

NPI Number	:	1831158872
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	CHERYL M SALERNO OT

Provider Business Mailing Address
First Line	:	3488 E LAKE RD
Second Line	:	STE. 301
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-2404
Country	:	US
Telephone Number	:	727-784-5261
Fax Number	:

Provider Business Practice Location Address
First Line	:	3488 E LAKE RD
Second Line	:	STE. 301
City	:	PALM HARBOR
State	:	FL
Zip	:	34685-2404
Country	:	US
Telephone Number	:	727-784-5261
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	03/20/2006
Last Update Date	:	07/16/2009

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