MEDICARE: MS. LORI HALPERN SHERWOOD O.T.

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	225XP0200X	Pediatric Occupational Therapist	OT 7060	FL

General Provider Information

NPI Number	:	1639214604
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. LORI HALPERN SHERWOOD O.T.

Provider Business Mailing Address
First Line	:	9931 NW 5TH PL
Second Line	:
City	:	PLANTATION
State	:	FL
Zip	:	33324-7040
Country	:	US
Telephone Number	:	954-382-9722
Fax Number	:

Provider Business Practice Location Address
First Line	:	3117 SW 13TH CT
Second Line	:
City	:	FT LAUDERDALE
State	:	FL
Zip	:	33312-2714
Country	:	US
Telephone Number	:	954-584-7178
Fax Number	:	954-584-3151

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

Provider Enumeration Date	:	02/20/2007
Last Update Date	:	07/09/2007

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