Provider Demographics
NPI:1174683734
Name:GEORGE, SHARON A (PT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:A
Last Name:GEORGE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:SHARON
Other - Middle Name:A
Other - Last Name:APPELBAUM
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:PO BOX 1020
Mailing Address - Street 2:ROUTE 209
Mailing Address - City:KRESGEVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18333
Mailing Address - Country:US
Mailing Address - Phone:610-681-3637
Mailing Address - Fax:610-681-6344
Practice Address - Street 1:ROUTE 209
Practice Address - Street 2:
Practice Address - City:KRESGEVILLE
Practice Address - State:PA
Practice Address - Zip Code:18333
Practice Address - Country:US
Practice Address - Phone:610-681-3637
Practice Address - Fax:610-681-6344
Is Sole Proprietor?:No
Enumeration Date:2006-12-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT0067872225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
070748Medicare ID - Type Unspecified