Provider Demographics
NPI:1265715213
Name:PURDY, SHERI LYNN (CLT,OTR/L)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:LYNN
Last Name:PURDY
Suffix:
Gender:F
Credentials:CLT,OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:23 SCHAEFFER ST
Mailing Address - Street 2:
Mailing Address - City:NORTH BILLERICA
Mailing Address - State:MA
Mailing Address - Zip Code:01862-2307
Mailing Address - Country:US
Mailing Address - Phone:978-670-2990
Mailing Address - Fax:978-670-2990
Practice Address - Street 1:23 SCHAEFFER ST
Practice Address - Street 2:
Practice Address - City:NORTH BILLERICA
Practice Address - State:MA
Practice Address - Zip Code:01862-2307
Practice Address - Country:US
Practice Address - Phone:978-670-2990
Practice Address - Fax:978-670-2990
Is Sole Proprietor?:Yes
Enumeration Date:2011-09-26
Last Update Date:2011-09-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2575174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist