Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.
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Cheyenne W Peterson-Gurak, COTA

Individual provider Occupational Therapist · NPI 1356219489

Cheyenne W Peterson-Gurak, COTA is an Occupational Therapist in Jacksonville, Florida. Licensed in Florida. Registered with an NPI since 2025.

Licensed in
FL
In the registry since
2025
What do these letters mean?
COTA — Certified Occupational Therapy Assistant
Delivers treatment under an occupational therapist's direction.

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Practice location Address checks out

12276 San Jose Blvd Ste 508
Jacksonville, FL 32223-8618
Phone: (904) 886-3228
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Occupational Therapist (primary) Taxonomy 225X00000X · Licence 65839 (FL)

Record details

NPI number1356219489
Entity typeIndividual (Type 1)
GenderFemale
Credentials COTA
Sole proprietorNo
NPI enumeratedOctober 29, 2025
Last updated in NPPESOctober 29, 2025
Certification dateOctober 29, 2025

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