MEDICARE: SHERIDAN DANIELLE BARNO

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	225200000X	Physical Therapy Assistant	012225	OH

General Provider Information

NPI Number	:	1841852050
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERIDAN DANIELLE BARNO

Provider Business Mailing Address
First Line	:	810 COOPER FOSTER PARK RD W
Second Line	:
City	:	LORAIN
State	:	OH
Zip	:	44053-3735
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	14748 W CENTER RD STE 300
Second Line	:
City	:	OMAHA
State	:	NE
Zip	:	68144-2029
Country	:	US
Telephone Number	:	140-289-6456
Fax Number	:

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

Provider Enumeration Date	:	07/08/2019
Last Update Date	:	07/08/2019

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Directions to “ SHERIDAN DANIELLE BARNO ” Practice Location

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