Cheryl A Cantillon, OTR
Residential Treatment Facility, Physical Disabilities in Niantic, Connecticut
1578796371- Practice location
- 46 Roxbury RD, Niantic, CT 06357-1836
- Phone
- 860-287-7107
- Fax
- —
- Last updated
- August 26, 2009
Cheryl A. Cantillon is a Residential Treatment Facility, Physical Disabilities based in Niantic, CT. Cheryl A. Cantillon practices in Niantic, CT and has the professional credentials of OTR. The NPI Number for Cheryl A. Cantillon is 1578796371 and holds a License No. 001883 (CT). The current practice location address for Cheryl A. Cantillon is 46 Roxbury RD, Niantic, CT 06357-1836 and can be reached out via phone at 860-287-7107.
Provider Profile Details
- NPI Number
- 1578796371
- Provider Name
- Cheryl A. Cantillon
- Credential
- OTR
- Provider Entity Type
- Individual
- Gender
- Female
- Address
- 46 Roxbury RD, Niantic, CT 06357-1836
- Phone Number
- 860-287-7107
- Primary Taxonomy
- Residential Treatment Facility, Physical Disabilities · 320700000X
- Sole Proprietor
- Yes
- Provider Enumeration Date
- August 26, 2009
- Last Update Date
- August 26, 2009
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 46 Roxbury RD
Niantic, CT 06357-1836 - City
- Niantic
- State
- Connecticut
- Zip
- 06357-1836
- Phone Number
- 860-287-7107
Provider Business Mailing Address Details
- Address
- 46 Roxbury RD
Niantic, CT 06357-1836 - City
- Niantic
- State
- CT
- Zip
- 06357-1836
- Phone Number
- 860-287-7107
License Information
- License Number (1)
- 001883
- License State (1)
- CT
- Taxonomy (1)
- Residential Treatment Facility, Physical Disabilities · 320700000X · Primary
- License Number (2)
- 8902
- License State (2)
- MA
- Taxonomy (2)
- Psychiatric Residential Treatment Facility · 323P00000X
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Cheryl A Cantillon, OTR?
The NPI number of Cheryl A Cantillon, OTR is 1578796371. It was assigned on August 26, 2009 and is currently active in the NPPES registry.
What is the specialty of Cheryl A Cantillon, OTR?
Cheryl A Cantillon, OTR is registered under the primary taxonomy Residential Treatment Facility, Physical Disabilities (code 320700000X), licensed in CT under license number 001883.
Where does Cheryl A Cantillon, OTR practice?
The practice location is 46 Roxbury RD, Niantic, CT 06357-1836. The office can be reached at 860-287-7107 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1578796371 directly on the NPPES registry website.