Provider Demographics
NPI:1073398384
Name:SHERWOOD, ERIN (COTA/L)
Entity Type:Individual
Prefix:MRS
First Name:ERIN
Middle Name:
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:MS
Other - First Name:ERIN
Other - Middle Name:
Other - Last Name:FREYERMUTH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:6164 E PASEO RIO VERDE
Mailing Address - Street 2:
Mailing Address - City:ANAHEIM
Mailing Address - State:CA
Mailing Address - Zip Code:92807-2326
Mailing Address - Country:US
Mailing Address - Phone:714-501-8494
Mailing Address - Fax:
Practice Address - Street 1:24452 HEALTH CENTER DR
Practice Address - Street 2:
Practice Address - City:LAGUNA HILLS
Practice Address - State:CA
Practice Address - Zip Code:92653-3604
Practice Address - Country:US
Practice Address - Phone:949-837-8000
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-08-28
Last Update Date:2023-08-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA6555224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant