Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | OT381 | ME |
NPI | 1003124694 |
---|---|
Provider Name | Teri Sanford-Sherrets |
First Address | Winthrop, ME 04364-1506 |
Second Address | Winthrop, ME 04364-1506 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 17/09/2010 |
Last Update Date | 17/09/2010 |