Provider Demographics
NPI:1659455475
Name:SHERER, GRACE (OTR/L)
Entity Type:Individual
Prefix:MRS
First Name:GRACE
Middle Name:
Last Name:SHERER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:340 CENTRAL DR
Mailing Address - Street 2:
Mailing Address - City:LANSDALE
Mailing Address - State:PA
Mailing Address - Zip Code:19446-4205
Mailing Address - Country:US
Mailing Address - Phone:215-412-7971
Mailing Address - Fax:215-412-3788
Practice Address - Street 1:695 MAIN ST
Practice Address - Street 2:#400
Practice Address - City:HARLEYSVILLE
Practice Address - State:PA
Practice Address - Zip Code:19438-1671
Practice Address - Country:US
Practice Address - Phone:215-366-5978
Practice Address - Fax:215-366-5956
Is Sole Proprietor?:Yes
Enumeration Date:2006-10-25
Last Update Date:2011-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC003887L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA083586-S60Medicare ID - Type Unspecified