Basic Information
Provider Information
NPI: 1871759571
EntityType: 1
ReplacementNPI:  
OrganizationName:  
LastName: ROBERTS
FirstName: SHERI
MiddleName: ELIZABETH
NamePrefix: MS.
NameSuffix:  
Credential: OTR/L, CHT
OtherOrganizationName:  
OtherOrganizationType:  
OtherLastName:  
OtherFirstName:  
OtherMiddleName:  
OtherNamePrefix:  
OtherNameSuffix:  
OtherCredential:  
OtherLastNameType:  
Mailing Information
Address1: 900 CIRCLE 75 PKWY SE
Address2: SUITE 1700
City: ATLANTA
State: GA
PostalCode: 303393035
CountryCode: US
TelephoneNumber: 7709536929
FaxNumber: 7709536972
Practice Location
Address1: 105 COLLIER RD NW
Address2: SUITE 2000
City: ATLANTA
State: GA
PostalCode: 303091710
CountryCode: US
TelephoneNumber: 4043521053
FaxNumber: 4043500840
Other Information
ProviderEnumerationDate: 08/01/2008
LastUpdateDate: 10/12/2015
NPIDeactivationReasonCode:  
NPIDeactivationDate:  
NPIReactivationDate:  
ProviderGenderCode: F
AuthorizedOfficialLastName:  
AuthorizedOfficialFirstName:  
AuthorizedOfficialMiddleName:  
AuthorizedOfficialTitleorPosition:  
AuthorizedOfficialTelephone:  
IsSoleProprietor: N
IsOrganizationSubpart:  
ParentOrganizationLBN:  
AuthorizedOfficialNamePrefix:  
AuthorizedOfficialNameSuffix:  
AuthorizedOfficialCredential:  
NPICertificationDate:  

Taxonomy Information
TaxonomyLicenseStateSwitchTaxonomyGroupTaxonomyTypeTaxonomyClassSubSpecialty
225XH1200X000818GAY Respiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand

No ID Information.


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