Provider Demographics
NPI:1033323761
Name:HALL, SHARON J (PT CAS)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:J
Last Name:HALL
Suffix:
Gender:F
Credentials:PT CAS
Other - Prefix:
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Mailing Address - Street 1:26 JOHNSON LN
Mailing Address - Street 2:
Mailing Address - City:WEST YARMOUTH
Mailing Address - State:MA
Mailing Address - Zip Code:02673-2763
Mailing Address - Country:US
Mailing Address - Phone:508-760-3466
Mailing Address - Fax:
Practice Address - Street 1:130 NORTH ST
Practice Address - Street 2:LOWER LEVEL
Practice Address - City:HYANNIS
Practice Address - State:MA
Practice Address - Zip Code:02601
Practice Address - Country:US
Practice Address - Phone:508-771-9600
Practice Address - Fax:508-775-1753
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MA252021225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist