Individual
JEFFREY SHERIDAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
5001 STATESMAN DR, IRVING, TX 75063-2414
(877) 453-5165
Mailing address
5001 STATESMAN DR, IRVING, TX 75063-2414
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
10558
MA
225X00000X
Occupational Therapist
292364
OR
225X00000X
Occupational Therapist
Primary
3888
CT
Other
Enumeration date
05/05/2014
Last updated
05/05/2014
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