Provider Demographics
NPI:1912226598
Name:COTTRELL, SHERRY KAPLAN (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHERRY
Middle Name:KAPLAN
Last Name:COTTRELL
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6071 KEMPER LAKES DR
Mailing Address - Street 2:
Mailing Address - City:LAKE WORTH
Mailing Address - State:FL
Mailing Address - Zip Code:33463-6528
Mailing Address - Country:US
Mailing Address - Phone:561-357-5763
Mailing Address - Fax:
Practice Address - Street 1:3521 W BOYNTON BEACH BLVD
Practice Address - Street 2:
Practice Address - City:BOYNTON BEACH
Practice Address - State:FL
Practice Address - Zip Code:33436-4533
Practice Address - Country:US
Practice Address - Phone:561-738-0222
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2010-05-21
Last Update Date:2010-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPT18710225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist