Healthcare Provider Details

I. General information

NPI: 1235767179
Provider Name (Legal Business Name): SHERRIE MARIE BARTON OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 03/27/2020
Last Update Date: 03/27/2020
Certification Date: 03/27/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

8500 BLUFFSTONE CV STE 201
AUSTIN TX
78759-7808
US

IV. Provider business mailing address

8500 BLUFFSTONE CV STE 201
AUSTIN TX
78759-7808
US

V. Phone/Fax

Practice location:
  • Phone: 800-967-4667
  • Fax:
Mailing address:
  • Phone: 800-967-4667
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225XP0019X
TaxonomyPhysical Rehabilitation Occupational Therapist
License Number119910
License Number StateTX

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: