Healthcare Provider Details

I. General information

NPI: 1386735678
Provider Name (Legal Business Name): SHERRI L YOUNG OTR.L
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 09/28/2006
Last Update Date: 04/03/2025
Certification Date: 04/03/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

4105 FABER PLACE DR STE 490
NORTH CHARLESTON SC
29405-8594
US

IV. Provider business mailing address

3577 CROSSTREES LN
MOUNT PLEASANT SC
29466-7500
US

V. Phone/Fax

Practice location:
  • Phone: 843-894-7374
  • Fax:
Mailing address:
  • Phone: 828-693-8972
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code225XP0200X
TaxonomyPediatric Occupational Therapist
License Number2296
License Number StateNC
# 2
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number7524
License Number StateSC

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: