Provider Demographics
NPI:1083214530
Name:WALKER, SHERRY LYNNE (COTA/L)
Entity Type:Individual
Prefix:
First Name:SHERRY
Middle Name:LYNNE
Last Name:WALKER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:LYNNE
Other - Last Name:SPENCER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:COTA/L
Mailing Address - Street 1:81 ANDREW AVE
Mailing Address - Street 2:
Mailing Address - City:EPHRATA
Mailing Address - State:PA
Mailing Address - Zip Code:17522-1667
Mailing Address - Country:US
Mailing Address - Phone:717-475-9825
Mailing Address - Fax:
Practice Address - Street 1:604 OAK ST
Practice Address - Street 2:
Practice Address - City:AKRON
Practice Address - State:PA
Practice Address - Zip Code:17501-1489
Practice Address - Country:US
Practice Address - Phone:717-859-5334
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2020-10-26
Last Update Date:2020-10-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOP000855L224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant