MEDICARE: MRS. CHERISE AUSTIN OTR/L

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	112268	TX

General Provider Information

NPI Number	:	1861995193
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. CHERISE AUSTIN OTR/L

Provider Business Mailing Address
First Line	:	604 MEMORIAL HILL WAY
Second Line	:
City	:	MURPHY
State	:	TX
Zip	:	75094-3670
Country	:	US
Telephone Number	:	972-740-0045
Fax Number	:

Provider Business Practice Location Address
First Line	:	4501 PLANO PKWY
Second Line	:
City	:	CARROLLTON
State	:	TX
Zip	:	75010-4971
Country	:	US
Telephone Number	:	469-701-5300
Fax Number	:

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

Provider Enumeration Date	:	03/13/2018
Last Update Date	:	03/13/2018

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