Healthcare Provider Details

I. General information

NPI: 1215249453
Provider Name (Legal Business Name): CHERI DENISE LAMBERT OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 07/03/2010
Last Update Date: 07/03/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

649 COUNTY ROAD 433
TENAHA TX
75974-6332
US

IV. Provider business mailing address

PO BOX 1515
CARTHAGE TX
75633-7515
US

V. Phone/Fax

Practice location:
  • Phone: 936-248-2322
  • Fax:
Mailing address:
  • Phone: 936-248-2322
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number108096
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: