Provider Demographics
NPI:1366503187
Name:NORWOOD, SHEILA LYNN-KERNODLE (OTR)
Entity Type:Individual
Prefix:MRS
First Name:SHEILA
Middle Name:LYNN-KERNODLE
Last Name:NORWOOD
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:326 BERKLEY ST
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48124-1304
Mailing Address - Country:US
Mailing Address - Phone:313-499-4671
Mailing Address - Fax:313-499-4367
Practice Address - Street 1:326 BERKLEY ST
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48124-1304
Practice Address - Country:US
Practice Address - Phone:313-499-4671
Practice Address - Fax:313-499-4367
Is Sole Proprietor?:No
Enumeration Date:2006-12-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5201002336225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist