Provider Demographics
NPI:1609355775
Name:HALL, SHERYL ANN (MS, OTR/L)
Entity Type:Individual
Prefix:MS
First Name:SHERYL
Middle Name:ANN
Last Name:HALL
Suffix:
Gender:F
Credentials:MS, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1542 PONDHAVEN DR
Mailing Address - Street 2:
Mailing Address - City:HIGH POINT
Mailing Address - State:NC
Mailing Address - Zip Code:27265-9436
Mailing Address - Country:US
Mailing Address - Phone:336-886-2316
Mailing Address - Fax:
Practice Address - Street 1:706 PINEYWOOD RD
Practice Address - Street 2:
Practice Address - City:THOMASVILLE
Practice Address - State:NC
Practice Address - Zip Code:27360-2753
Practice Address - Country:US
Practice Address - Phone:336-475-9116
Practice Address - Fax:336-475-5234
Is Sole Proprietor?:No
Enumeration Date:2018-08-09
Last Update Date:2018-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC5839225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist