Provider Demographics
NPI:1922393966
Name:PEREL, SHARLA (MS OTR/L)
Entity Type:Individual
Prefix:
First Name:SHARLA
Middle Name:
Last Name:PEREL
Suffix:
Gender:F
Credentials:MS OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:54 MCMANUS RD.
Mailing Address - Street 2:
Mailing Address - City:RENSSELAERVILLE
Mailing Address - State:NY
Mailing Address - Zip Code:12147
Mailing Address - Country:US
Mailing Address - Phone:518-239-8408
Mailing Address - Fax:
Practice Address - Street 1:49 MCMANUS LN.
Practice Address - Street 2:
Practice Address - City:RENSSELAERVILLE
Practice Address - State:NY
Practice Address - Zip Code:12147
Practice Address - Country:US
Practice Address - Phone:518-239-8408
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-17
Last Update Date:2011-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY004673225XP0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatrics