Provider Demographics
NPI:1124250576
Name:WORSHAM, SHERI C (OTR/L)
Entity type:Individual
Prefix:
First Name:SHERI
Middle Name:C
Last Name:WORSHAM
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2457 TWIN LAKE DR
Mailing Address - Street 2:
Mailing Address - City:BEDFORD
Mailing Address - State:VA
Mailing Address - Zip Code:24523-6586
Mailing Address - Country:US
Mailing Address - Phone:540-353-6724
Mailing Address - Fax:
Practice Address - Street 1:2457 TWIN LAKE DR
Practice Address - Street 2:
Practice Address - City:BEDFORD
Practice Address - State:VA
Practice Address - Zip Code:24523-6586
Practice Address - Country:US
Practice Address - Phone:540-353-6724
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-08-19
Last Update Date:2009-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA0119004556225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist