Provider Demographics
NPI:1093959918
Name:RUPRECHT-BROWN, SHARON C A (LPTA)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:C A
Last Name:RUPRECHT-BROWN
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 1:6711 AUTUMN WOOD DR
Mailing Address - Street 2:
Mailing Address - City:SPOTSYLVANIA
Mailing Address - State:VA
Mailing Address - Zip Code:22553-1861
Mailing Address - Country:US
Mailing Address - Phone:540-322-7872
Mailing Address - Fax:
Practice Address - Street 1:6711 AUTUMN WOOD DR
Practice Address - Street 2:
Practice Address - City:SPOTSYLVANIA
Practice Address - State:VA
Practice Address - Zip Code:22553-1861
Practice Address - Country:US
Practice Address - Phone:540-322-7872
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-04-22
Last Update Date:2009-04-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA2306001190225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA2306001190OtherPHYSICAL THERAPIST ASSISTANT