Provider Demographics
NPI:1194942862
Name:BOSS, CHERYL (MS, OTR)
Entity type:Individual
Prefix:MRS
First Name:CHERYL
Middle Name:
Last Name:BOSS
Suffix:
Gender:F
Credentials:MS, OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7235 WILLOW CREEK DR
Mailing Address - Street 2:
Mailing Address - City:YPSILANTI
Mailing Address - State:MI
Mailing Address - Zip Code:48197-6111
Mailing Address - Country:US
Mailing Address - Phone:734-547-8927
Mailing Address - Fax:
Practice Address - Street 1:7235 WILLOW CREEK DR
Practice Address - Street 2:
Practice Address - City:YPSILANTI
Practice Address - State:MI
Practice Address - Zip Code:48197-6111
Practice Address - Country:US
Practice Address - Phone:734-547-8927
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-20
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist