Sheridan Clemons

Individual provider Active NPI Physical Rehabilitation Occupational Therapist · Elgin, TX

NPI 1992587737 · NPPES record last updated Oct 17, 2023

Key facts

NPI
1992587737
Entity type
Individual (NPI type 1)
Primary specialty
Physical Rehabilitation Occupational Therapist 225XP0019X
License
123780 (TX)
Practice address
1373 N Avenue C
Elgin, TX 78621-1528
Phone
(512) 285-2547
NPI assigned
Oct 17, 2023
Sex
Female
Sole proprietor
Yes

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
123780TXMDPhysical Rehabilitation Occupational Therapist

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Physical Rehabilitation Occupational Therapist 225XP0019X 123780 TX Yes

Addresses

Primary practice location

1373 N Avenue C
Elgin, TX 78621-1528

Mailing address

1373 N Avenue C
Elgin, TX 78621-1528

Other practice location 1

1056 Mill Pond Rd
Galax, VA 24333-4456
Phone (276) 235-8853

Other providers in Elgin, TX

All providers in Elgin, TX · Physical Rehabilitation Occupational Therapist in Texas

Sources for this page

Verify at the official NPI Registry.