Provider Demographics
NPI:1649589862
Name:SHERMAN, ROBERT PHILIP (MS OT/L)
Entity Type:Individual
Prefix:MR
First Name:ROBERT
Middle Name:PHILIP
Last Name:SHERMAN
Suffix:
Gender:M
Credentials:MS OT/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:45 PEARL ST
Mailing Address - Street 2:UNIT #1
Mailing Address - City:DORCHESTER
Mailing Address - State:MA
Mailing Address - Zip Code:02125-1815
Mailing Address - Country:US
Mailing Address - Phone:617-288-3909
Mailing Address - Fax:
Practice Address - Street 1:45 PEARL ST
Practice Address - Street 2:UNIT #1
Practice Address - City:DORCHESTER
Practice Address - State:MA
Practice Address - Zip Code:02125-1815
Practice Address - Country:US
Practice Address - Phone:617-288-3909
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-10-05
Last Update Date:2010-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA6287225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist