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NPI Code Detail

MEDICARE: ERLA LYNETTE SHERIDAN

MEDICARE: ERLA LYNETTE SHERIDAN
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225X00000XOccupational TherapistOC003100LPA

Other Identifiers

# Provider Identifier Provider Identifier Type Provider Identifier State Provider Identifier Issuer
10019358320002OTHERPAMA

General Provider Information

NPI Number : 1417172065
Entity Type Code : Individual
Provider Name (Legal Business Name) : ERLA LYNETTE SHERIDAN
Provider Business Mailing Address
First Line : 3721 CRESCENT COURT WEST
Second Line : CYNTHIA MILES AND ASSOCIATES
City : WHITEHALL
State : PA
Zip : 18052-3446
Country : US
Telephone Number : 610-820-7667
Fax Number : 610-820-7671
Provider Business Practice Location Address
First Line : 3721 CRESCENT COURT WEST
Second Line : CYNTHIA MILES AND ASSOCIATES
City : WHITEHALL
State : PA
Zip : 18052-3446
Country : US
Telephone Number : 610-820-7667
Fax Number : 610-820-7671
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/16/2007
Last Update Date : 01/26/2016

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Directions to “ ERLA LYNETTE SHERIDAN ” Practice Location

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