Provider Demographics
NPI:1376648436
Name:KERR, SEAN DARL (OTR/L)
Entity Type:Individual
Prefix:
First Name:SEAN
Middle Name:DARL
Last Name:KERR
Suffix:
Gender:M
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1915 SW 82ND AVE
Mailing Address - Street 2:
Mailing Address - City:DAVIE
Mailing Address - State:FL
Mailing Address - Zip Code:33324-5427
Mailing Address - Country:US
Mailing Address - Phone:954-336-1295
Mailing Address - Fax:
Practice Address - Street 1:1110 E HALLANDALE BEACH BLVD
Practice Address - Street 2:
Practice Address - City:HALLANDALE BEACH
Practice Address - State:FL
Practice Address - Zip Code:33009-4432
Practice Address - Country:US
Practice Address - Phone:954-454-7575
Practice Address - Fax:954-454-8288
Is Sole Proprietor?:No
Enumeration Date:2006-09-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 6268225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand