Provider Demographics
NPI:1881683639
Name:GEHRMAN, SHARON (OT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:GEHRMAN
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6201 CENTREVILLE RD
Mailing Address - Street 2:SUITE 500
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-2626
Mailing Address - Country:US
Mailing Address - Phone:703-263-2095
Mailing Address - Fax:703-263-2098
Practice Address - Street 1:6201 CENTREVILLE RD
Practice Address - Street 2:SUITE 500
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-2626
Practice Address - Country:US
Practice Address - Phone:703-263-2095
Practice Address - Fax:703-263-2098
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-14
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119001444225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist