Provider Demographics
NPI:1366834731
Name:SHERRIE BOYD PHYSICAL THERAPIST
Entity Type:Organization
Organization Name:SHERRIE BOYD PHYSICAL THERAPIST
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:SHERRIE
Authorized Official - Middle Name:L
Authorized Official - Last Name:BOYD
Authorized Official - Suffix:
Authorized Official - Credentials:PT
Authorized Official - Phone:714-369-6335
Mailing Address - Street 1:6322 PRISCILLA DR
Mailing Address - Street 2:
Mailing Address - City:HUNTINGTON BEACH
Mailing Address - State:CA
Mailing Address - Zip Code:92647-2849
Mailing Address - Country:US
Mailing Address - Phone:714-369-6335
Mailing Address - Fax:714-369-6335
Practice Address - Street 1:18821 DELAWARE ST
Practice Address - Street 2:SUITE 106
Practice Address - City:HUNTINGTON BEACH
Practice Address - State:CA
Practice Address - Zip Code:92648-1926
Practice Address - Country:US
Practice Address - Phone:714-369-6335
Practice Address - Fax:714-369-6335
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-23
Last Update Date:2015-03-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGroup - Single Specialty