Provider Demographics
NPI:1942339759
Name:SHERR, LARISSA (DPT)
Entity Type:Individual
Prefix:MS
First Name:LARISSA
Middle Name:
Last Name:SHERR
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:17000 VENTURA BLVD STE 304
Mailing Address - Street 2:
Mailing Address - City:ENCINO
Mailing Address - State:CA
Mailing Address - Zip Code:91316-4159
Mailing Address - Country:US
Mailing Address - Phone:818-380-0199
Mailing Address - Fax:818-788-1940
Practice Address - Street 1:17000 VENTURA BLVD STE 304
Practice Address - Street 2:
Practice Address - City:ENCINO
Practice Address - State:CA
Practice Address - Zip Code:91316-4159
Practice Address - Country:US
Practice Address - Phone:818-380-0199
Practice Address - Fax:818-788-1940
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-05
Last Update Date:2023-05-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
2251S0007X, 2251X0800X
CAPT28568225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No2251S0007XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistSports
No2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic