Provider Demographics
NPI:1669650016
Name:HENRIQUES, LATANYA SHERRICE (OTR/L)
Entity Type:Individual
Prefix:MS
First Name:LATANYA
Middle Name:SHERRICE
Last Name:HENRIQUES
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 1:14 MIDDLEVIEW CT
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21244-2620
Mailing Address - Country:US
Mailing Address - Phone:301-768-9348
Mailing Address - Fax:
Practice Address - Street 1:14 MIDDLEVIEW CT
Practice Address - Street 2:
Practice Address - City:BALTIMORE
Practice Address - State:MD
Practice Address - Zip Code:21244-2620
Practice Address - Country:US
Practice Address - Phone:301-768-9348
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2008-02-07
Last Update Date:2008-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD05095225X00000X
CA9815225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics