| Doctor Name: | MRS. CHERYL E RODNICK |
| NPI Number: | 1023074739 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | OTR L, CHT |
| License Number: | OT-209 |
| Business Practice Address: | 1950 E Clark St Stf Pocatello, ID - 832013314 |
| Business Phone Number: | 2082322915 |
| Business Fax Number: | 2082325553 |
| Mailing Address: | 1950 E Clark St, Stf POCATELLO |
| State: | ID |
| Postal Code: | 832013314 |
| Phone Number: | 2082322519 |
| Fax Number: | 2082325553 |
| NPI Enumeration Date: | 04/21/2006 |
| NPI Last Update Date: | 07/09/2007 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225XH1200X |
| License Number: | OT-209 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | ID |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Occupational Therapist |
| Taxonomy Specialization: | Hand |
| Taxonomy Definition: | |