MEDICARE: MS. JENNIFER SHERM MOTR/L

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 15787	FL

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1386081941
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. JENNIFER SHERM MOTR/L

Provider Business Mailing Address
First Line	:	5106 GREENWICH PRESERVE COURT
Second Line	:	UNIT 1309
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	5106 GREENWICH PRESERVE CT
Second Line	:
City	:	BOYNTON BEACH
State	:	FL
Zip	:	33436-5802
Country	:	US
Telephone Number	:	703-470-6975
Fax Number	:

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

Provider Enumeration Date	:	05/22/2013
Last Update Date	:	02/15/2020

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