Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225XN1300X | Occupational Therapist - Neurorehabilitation | OT9069 | FL |
NPI | 1497277198 |
---|---|
Provider Name | Mrs. Sherry-Lynne Bredy |
First Address | Winter Springs, FL 32708-5322 |
Second Address | Orlando, FL 32804-1331 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 13/07/2017 |
Last Update Date | 13/07/2017 |