Provider Demographics
NPI:1639309891
Name:ABRAHAM, SHERRY S (PT)
Entity type:Individual
Prefix:
First Name:SHERRY
Middle Name:S
Last Name:ABRAHAM
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SHERRY
Other - Middle Name:S
Other - Last Name:THOMAS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2700 S EAGLE RD
Mailing Address - Street 2:
Mailing Address - City:NEWTOWN
Mailing Address - State:PA
Mailing Address - Zip Code:18940-1556
Mailing Address - Country:US
Mailing Address - Phone:267-758-2550
Mailing Address - Fax:
Practice Address - Street 1:2700 S EAGLE RD
Practice Address - Street 2:
Practice Address - City:NEWTOWN
Practice Address - State:PA
Practice Address - Zip Code:18940-1556
Practice Address - Country:US
Practice Address - Phone:267-758-2550
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-07-22
Last Update Date:2013-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT-019920225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist