MEDICARE: SHERYL BRANUM MOT, OTRL

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	225X00000X	Occupational Therapist	OT26461	FL

General Provider Information

NPI Number	:	1922127539
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHERYL BRANUM MOT, OTRL

Provider Business Mailing Address
First Line	:	4806 TIMBER COMMONS DR STE A
Second Line	:
City	:	SANDUSKY
State	:	OH
Zip	:	44870-7161
Country	:	US
Telephone Number	:	419-627-2526
Fax Number	:	419-627-4263

Provider Business Practice Location Address
First Line	:	4806 TIMBER COMMONS DR
Second Line	:	STE. A
City	:	SANDUSKY
State	:	OH
Zip	:	44870-7161
Country	:	US
Telephone Number	:	419-627-2526
Fax Number	:	419-627-4263

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

Provider Enumeration Date	:	03/28/2007
Last Update Date	:	05/27/2026

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