MEDICARE: SHERLY ESTRELLA

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
1	224Z00000X	Occupational Therapy Assistant	19516	FL

General Provider Information

NPI Number	:	1578340840
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERLY ESTRELLA

Provider Business Mailing Address
First Line	:	1615 RIVER REACH DR APT 65
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-5821
Country	:	US
Telephone Number	:	321-572-4561
Fax Number	:

Provider Business Practice Location Address
First Line	:	1615 RIVER REACH DR APT 65
Second Line	:
City	:	ORLANDO
State	:	FL
Zip	:	32828-5821
Country	:	US
Telephone Number	:	321-572-4561
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	09/11/2023
Last Update Date	:	09/11/2023

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Directions to “ SHERLY ESTRELLA ” Practice Location

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