Healthcare Provider Details

I. General information

NPI: 1346420981
Provider Name (Legal Business Name): CHERYL BREGMAN OTR/L
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 11/12/2007
Last Update Date: 08/19/2014
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11005 ROSEMONT DR
ROCKVILLE MD
20852-3650
US

IV. Provider business mailing address

11005 ROSEMONT DR
ROCKVILLE MD
20852-3650
US

V. Phone/Fax

Practice location:
  • Phone: 301-881-3540
  • Fax:
Mailing address:
  • Phone: 301-881-3540
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number4282
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: