Individual
SHERYL BASK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS OTR/L
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
116167
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
703252100A
—
GA
Enumeration date
10/02/2006
Last updated
02/14/2018
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