Provider Demographics
NPI:1740403179
Name:SHERER, ERIN HOPE (OTR L)
Entity Type:Individual
Prefix:
First Name:ERIN
Middle Name:HOPE
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 1:250 EDGEWOOD RD
Mailing Address - Street 2:
Mailing Address - City:BEAVER FALLS
Mailing Address - State:PA
Mailing Address - Zip Code:15010-4914
Mailing Address - Country:US
Mailing Address - Phone:412-972-0430
Mailing Address - Fax:
Practice Address - Street 1:250 EDGEWOOD RD
Practice Address - Street 2:
Practice Address - City:BEAVER FALLS
Practice Address - State:PA
Practice Address - Zip Code:15010-4914
Practice Address - Country:US
Practice Address - Phone:412-972-0430
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-04-11
Last Update Date:2015-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC 005802L225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
PA001776226 0002Medicaid