Sherri Lynn Berry, COTA

Individual provider Active NPI Occupational Therapy Assistant · Ennis, TX

NPI 1013497767 · NPPES record last updated Aug 21, 2018

Key facts

NPI
1013497767
Entity type
Individual (NPI type 1)
Primary specialty
Occupational Therapy Assistant 224Z00000X
License
208392 (TX)
Practice address
2300 S Oak Grove Rd
Ennis, TX 75119-6841
Phone
(972) 875-8643
NPI assigned
Aug 21, 2018
Sex
Female
Sole proprietor
No

Medicare participation

Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

Medicare enrollment (NPD)
No

State licenses

LicenseStateTypeSpecialty
208392TXMDOccupational Therapy Assistant

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Occupational Therapy Assistant 224Z00000X 208392 TX Yes

Addresses

Primary practice location

2300 S Oak Grove Rd
Ennis, TX 75119-6841

Mailing address

414 LCR 402
Groesbeck, TX 76642-2642
Phone (254) 366-5559

Other providers in Ennis, TX

All providers in Ennis, TX · Occupational Therapy Assistant in Texas

Sources for this page

Verify at the official NPI Registry.