Provider Demographics
NPI:1104007988
Name:BELL, SHARON ANNE (DPT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANNE
Last Name:BELL
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:309 FIRST ST. NE
Mailing Address - Street 2:SUITE 101
Mailing Address - City:LITTLE FALLS
Mailing Address - State:MN
Mailing Address - Zip Code:56345
Mailing Address - Country:US
Mailing Address - Phone:320-631-2302
Mailing Address - Fax:320-631-2303
Practice Address - Street 1:309 FIRST ST. NE
Practice Address - Street 2:SUITE 101
Practice Address - City:LITTLE FALLS
Practice Address - State:MN
Practice Address - Zip Code:56345
Practice Address - Country:US
Practice Address - Phone:320-631-2302
Practice Address - Fax:320-631-2303
Is Sole Proprietor?:No
Enumeration Date:2007-11-20
Last Update Date:2013-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MN7858225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist