Provider Demographics
NPI:1154863777
Name:GARMON, SHERON JENECE (MOT, OT/L)
Entity Type:Individual
Prefix:MS
First Name:SHERON
Middle Name:JENECE
Last Name:GARMON
Suffix:
Gender:F
Credentials:MOT, OT/L
Other - Prefix:MS
Other - First Name:SHERON
Other - Middle Name:JENECE
Other - Last Name:GARMON
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MOT, OT/L
Mailing Address - Street 1:5963 LUDDINGTON DR
Mailing Address - Street 2:
Mailing Address - City:TOLEDO
Mailing Address - State:OH
Mailing Address - Zip Code:43615-2611
Mailing Address - Country:US
Mailing Address - Phone:419-213-0548
Mailing Address - Fax:
Practice Address - Street 1:5963 LUDDINGTON DR
Practice Address - Street 2:
Practice Address - City:TOLEDO
Practice Address - State:OH
Practice Address - Zip Code:43615
Practice Address - Country:US
Practice Address - Phone:419-213-0548
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2016-11-14
Last Update Date:2018-08-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-6647225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics