Provider Demographics
NPI:1093833014
Name:SHARPE, LAURA CHENEY (LPTA)
Entity Type:Individual
Prefix:MRS
First Name:LAURA
Middle Name:CHENEY
Last Name:SHARPE
Suffix:
Gender:F
Credentials:LPTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1518 LONGBROOK DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28270-1422
Mailing Address - Country:US
Mailing Address - Phone:704-847-9250
Mailing Address - Fax:
Practice Address - Street 1:7003 WALLACE RD STE 100
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28212-6815
Practice Address - Country:US
Practice Address - Phone:704-568-5510
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-03-27
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC1396225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant