Provider Demographics
NPI:1073399374
Name:SYLVE, SHARANIE
Entity Type:Individual
Prefix:
First Name:SHARANIE
Middle Name:
Last Name:SYLVE
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:SHARANIE
Other - Middle Name:
Other - Last Name:SMITH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:601 PELICAN CRST
Mailing Address - Street 2:
Mailing Address - City:BELLE CHASSE
Mailing Address - State:LA
Mailing Address - Zip Code:70037-1831
Mailing Address - Country:US
Mailing Address - Phone:504-451-7494
Mailing Address - Fax:
Practice Address - Street 1:601 PELICAN CRST
Practice Address - Street 2:
Practice Address - City:BELLE CHASSE
Practice Address - State:LA
Practice Address - Zip Code:70037-1831
Practice Address - Country:US
Practice Address - Phone:504-451-7494
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2023-09-04
Last Update Date:2023-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
LAOTT.200537225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist