Provider Demographics
NPI:1639214604
Name:SHERWOOD, LORI HALPERN (OT)
Entity Type:Individual
Prefix:MS
First Name:LORI
Middle Name:HALPERN
Last Name:SHERWOOD
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:9931 NW 5TH PL
Mailing Address - Street 2:
Mailing Address - City:PLANTATION
Mailing Address - State:FL
Mailing Address - Zip Code:33324-7040
Mailing Address - Country:US
Mailing Address - Phone:954-382-9722
Mailing Address - Fax:
Practice Address - Street 1:3117 SW 13TH CT
Practice Address - Street 2:
Practice Address - City:FT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33312-2714
Practice Address - Country:US
Practice Address - Phone:954-584-7178
Practice Address - Fax:954-584-3151
Is Sole Proprietor?:No
Enumeration Date:2007-02-20
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT 7060225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics