Provider Demographics
NPI:1366076416
Name:WATSON, SHERYL ANN (OTR/L)
Entity type:Individual
Prefix:
First Name:SHERYL
Middle Name:ANN
Last Name:WATSON
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SHERYL
Other - Middle Name:ANN
Other - Last Name:WATSON WILLIAMS
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:1045 LAKE SHORE DR APT 201
Mailing Address - Street 2:
Mailing Address - City:LAKE PARK
Mailing Address - State:FL
Mailing Address - Zip Code:33403-2878
Mailing Address - Country:US
Mailing Address - Phone:252-230-4285
Mailing Address - Fax:
Practice Address - Street 1:5555 W BLUE HERON BLVD
Practice Address - Street 2:
Practice Address - City:RIVIERA BEACH
Practice Address - State:FL
Practice Address - Zip Code:33418-7813
Practice Address - Country:US
Practice Address - Phone:561-904-8979
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2020-02-27
Last Update Date:2025-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WA61022528225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist