Provider Demographics
NPI:1225449325
Name:SHERRI M. LORRAINE
Entity Type:Organization
Organization Name:SHERRI M. LORRAINE
Other - Org Name:DOCTOR OF WOMEN'S HEALTH PT & OT
Other - Org Type:Doing Business As
Authorized Official - Title/Position:DOCTOR OF PHYSICAL THERAPY
Authorized Official - Prefix:DR
Authorized Official - First Name:SHERRI
Authorized Official - Middle Name:MARIE
Authorized Official - Last Name:LORRAINE
Authorized Official - Suffix:
Authorized Official - Credentials:DPT, PHD
Authorized Official - Phone:321-802-5655
Mailing Address - Street 1:801 E HIBISCUS BLVD
Mailing Address - Street 2:SUITE 1
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-3252
Mailing Address - Country:US
Mailing Address - Phone:321-802-5655
Mailing Address - Fax:321-802-5656
Practice Address - Street 1:801 E HIBISCUS BLVD
Practice Address - Street 2:SUITE 1
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3252
Practice Address - Country:US
Practice Address - Phone:321-802-5655
Practice Address - Fax:321-802-5656
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-05-13
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT22630261QP2000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy