Provider Demographics
NPI:1790324754
Name:BENSON-GORDON, SHERRI CAROLINE (OTR/L)
Entity Type:Individual
Prefix:
First Name:SHERRI
Middle Name:CAROLINE
Last Name:BENSON-GORDON
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 1:341 E MORELAND RD
Mailing Address - Street 2:
Mailing Address - City:WILLOW GROVE
Mailing Address - State:PA
Mailing Address - Zip Code:19090-3507
Mailing Address - Country:US
Mailing Address - Phone:215-815-6680
Mailing Address - Fax:
Practice Address - Street 1:341 E MORELAND RD
Practice Address - Street 2:
Practice Address - City:WILLOW GROVE
Practice Address - State:PA
Practice Address - Zip Code:19090-3507
Practice Address - Country:US
Practice Address - Phone:215-815-6680
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2019-12-22
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PA225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist