Individual
DEBORAH SHERRY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
5810 JAMESON CT, CARMICHAEL, CA 95608-0881
(916) 979-0621
Mailing address
5810 JAMESON CT, CARMICHAEL, CA 95608-0881
(916) 979-0621
Taxonomy
Speciality
Code
Description
License number
State
163W00000X
Registered Nurse
RN 240389
CA
208100000X
Physical Medicine & Rehabilitation Physician
Primary
PT 22390
CA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
PT 22390
LICENSE
CA
01
—
RN 240389
LICENSE
CA
Enumeration date
09/17/2009
Last updated
09/17/2009
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