Provider Demographics
NPI:1467952580
Name:SHERWOOD, MAGGIE (PT, DPT)
Entity Type:Individual
Prefix:DR
First Name:MAGGIE
Middle Name:
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:PO BOX 81
Mailing Address - Street 2:
Mailing Address - City:OTEGO
Mailing Address - State:NY
Mailing Address - Zip Code:13825-0081
Mailing Address - Country:US
Mailing Address - Phone:607-988-0065
Mailing Address - Fax:607-988-0065
Practice Address - Street 1:344 MAIN STREET
Practice Address - Street 2:
Practice Address - City:OTEGO
Practice Address - State:NY
Practice Address - Zip Code:13825-0081
Practice Address - Country:US
Practice Address - Phone:607-988-0065
Practice Address - Fax:607-988-0065
Is Sole Proprietor?:No
Enumeration Date:2018-02-15
Last Update Date:2022-05-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist