MEDICARE: MS. SHERI A. PEARSALL

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	224Z00000X	Occupational Therapy Assistant

General Provider Information

NPI Number	:	1851574818
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. SHERI A. PEARSALL

Provider Business Mailing Address
First Line	:	861 EASTERN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-3523
Country	:	US
Telephone Number	:	718-774-7412
Fax Number	:

Provider Business Practice Location Address
First Line	:	861 EASTERN PKWY
Second Line	:
City	:	BROOKLYN
State	:	NY
Zip	:	11213-3523
Country	:	US
Telephone Number	:	718-774-7412
Fax Number	:

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

Provider Enumeration Date	:	12/13/2007
Last Update Date	:	12/13/2007

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