Provider Demographics
NPI:1326240649
Name:RICCIARDI, SHERI ELAINA (OT)
Entity Type:Individual
Prefix:MRS
First Name:SHERI
Middle Name:ELAINA
Last Name:RICCIARDI
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3551 BERKELEY LN
Mailing Address - Street 2:
Mailing Address - City:BRUNSWICK
Mailing Address - State:OH
Mailing Address - Zip Code:44212-1363
Mailing Address - Country:US
Mailing Address - Phone:330-273-6484
Mailing Address - Fax:
Practice Address - Street 1:3551 BERKELEY LN
Practice Address - Street 2:
Practice Address - City:BRUNSWICK
Practice Address - State:OH
Practice Address - Zip Code:44212-1363
Practice Address - Country:US
Practice Address - Phone:330-273-6484
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-05-31
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics