Provider Demographics
NPI:1376780460
Name:MEANS, SHERRIE ANN (OTR/L)
Entity Type:Individual
Prefix:
First Name:SHERRIE
Middle Name:ANN
Last Name:MEANS
Suffix:
Gender:F
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 1:12812 NW 214TH TER
Mailing Address - Street 2:
Mailing Address - City:HIGH SPRINGS
Mailing Address - State:FL
Mailing Address - Zip Code:32643-6843
Mailing Address - Country:US
Mailing Address - Phone:352-494-1549
Mailing Address - Fax:
Practice Address - Street 1:105 SW 140TH CT
Practice Address - Street 2:SUITE 3
Practice Address - City:JONESVILLE
Practice Address - State:FL
Practice Address - Zip Code:32669-3391
Practice Address - Country:US
Practice Address - Phone:352-333-3995
Practice Address - Fax:352-333-3994
Is Sole Proprietor?:No
Enumeration Date:2009-01-12
Last Update Date:2012-02-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL13086225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL000571500Medicaid