Healthcare Provider Details

I. General information

NPI: 1992368963
Provider Name (Legal Business Name): SHERYL LYNNE WINANS MS, OT/L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 04/16/2019
Last Update Date: 04/16/2019
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8001 LYNBROOK DRIVE
BETHESDA MD
20814
US

IV. Provider business mailing address

850 HUNGERFORD DRIVE
ROCKVILLE MD
20850
US

V. Phone/Fax

Practice location:
  • Phone: 240-740-5500
  • Fax:
Mailing address:
  • Phone: 240-740-5500
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number03377
License Number StateMD

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: