Provider Demographics
NPI:1215165725
Name:LABELLA, CHERYL ANN (OTR)
Entity type:Individual
Prefix:
First Name:CHERYL
Middle Name:ANN
Last Name:LABELLA
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 326
Mailing Address - Street 2:
Mailing Address - City:WHITE SULPHUR SPRINGS
Mailing Address - State:NY
Mailing Address - Zip Code:12787-0326
Mailing Address - Country:US
Mailing Address - Phone:845-292-8169
Mailing Address - Fax:845-292-6868
Practice Address - Street 1:817 DAHLIA ROAD
Practice Address - Street 2:
Practice Address - City:WHITE SULPHUR SPRINGS
Practice Address - State:NY
Practice Address - Zip Code:12787-0326
Practice Address - Country:US
Practice Address - Phone:845-292-8169
Practice Address - Fax:845-292-6868
Is Sole Proprietor?:Yes
Enumeration Date:2009-06-24
Last Update Date:2009-06-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY002113-1225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics