Provider Demographics
NPI:1588803076
Name:KEMMERER, SHERYL ELLEN (MS OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:SHERYL
Middle Name:ELLEN
Last Name:KEMMERER
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:MS
Other - First Name:SHERYL
Other - Middle Name:ELLEN
Other - Last Name:DAVIS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:MS OTR/L
Mailing Address - Street 1:410 S 6TH AVE
Mailing Address - Street 2:
Mailing Address - City:ROYERSFORD
Mailing Address - State:PA
Mailing Address - Zip Code:19468-2529
Mailing Address - Country:US
Mailing Address - Phone:610-792-0951
Mailing Address - Fax:
Practice Address - Street 1:81 ROBINSON ST
Practice Address - Street 2:
Practice Address - City:POTTSTOWN
Practice Address - State:PA
Practice Address - Zip Code:19464-6439
Practice Address - Country:US
Practice Address - Phone:610-970-1600
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-02-06
Last Update Date:2009-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC004158L225XH1200X, 225XP0019X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0019XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPhysical Rehabilitation
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand