Individual
ANNA M. SHERMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-4980
(262) 245-2248
Mailing address
N2950 STATE ROAD 67, LAKE GENEVA, WI 53147-2655
(262) 245-4980
(262) 245-2248
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
4550-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000054176-K400147037
WI MEDICARE
WI
01
—
1528470796
BCBSWI
WI
05
—
1528470796
—
WI
01
—
HEADANN
MERCYCARE INSURANCE
WI
Enumeration date
05/22/2014
Last updated
09/12/2018
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