Individual
SHERRI JO ANTLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
8928 PRISTINE CT, HUNTERSVILLE, NC 28078-5664
(704) 236-3895
Mailing address
8928 PRISTINE CT, HUNTERSVILLE, NC 28078-5664
(704) 236-3895
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
5341
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
7211749
—
NC
Enumeration date
01/03/2007
Last updated
07/08/2007
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