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NPI Code Detail

MEDICARE: MRS. SONYA SHERRELL OTR/L

MEDICARE: MRS. SONYA SHERRELL OTR/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
1225X00000XOccupational TherapistOT 10743FL

General Provider Information

NPI Number : 1447614631
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SONYA SHERRELL OTR/L
Provider Business Mailing Address
First Line : 4939 TURTLE CREEK TRL
Second Line :
City : OLDSMAR
State : FL
Zip : 34677-1966
Country : US
Telephone Number : 727-331-3380
Fax Number :
Provider Business Practice Location Address
First Line : 10607 SHELDON RD
Second Line :
City : TAMPA
State : FL
Zip : 33626-5114
Country : US
Telephone Number : 727-331-3380
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 04/13/2016
Last Update Date : 04/13/2016

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