Provider Demographics
NPI:1417018797
Name:SHERWOOD, DAN G (CO)
Entity Type:Individual
Prefix:MR
First Name:DAN
Middle Name:G
Last Name:SHERWOOD
Suffix:
Gender:M
Credentials:CO
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
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Other - Credentials:
Mailing Address - Street 1:3385 BRIGHTON HEN TL RD
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14623-2813
Mailing Address - Country:US
Mailing Address - Phone:585-473-5950
Mailing Address - Fax:585-473-9596
Practice Address - Street 1:THE FOOT PERFORMANCE CENTER
Practice Address - Street 2:3385 BRIGHTON HENRIETTA TLR
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14623
Practice Address - Country:US
Practice Address - Phone:585-473-5950
Practice Address - Fax:585-473-9596
Is Sole Proprietor?:Yes
Enumeration Date:2006-12-12
Last Update Date:2009-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes222Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOrthotist