Provider Demographics
NPI:1205177706
Name:SHARKEY, MARY ANN (PT)
Entity Type:Individual
Prefix:MRS
First Name:MARY
Middle Name:ANN
Last Name:SHARKEY
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
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Mailing Address - Street 1:102 EASTBROOK DR
Mailing Address - Street 2:SUITE B AND C
Mailing Address - City:GREENVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27858-4211
Mailing Address - Country:US
Mailing Address - Phone:252-830-0245
Mailing Address - Fax:252-830-0247
Practice Address - Street 1:102 EASTBROOK DR
Practice Address - Street 2:SUITE B AND C
Practice Address - City:GREENVILLE
Practice Address - State:NC
Practice Address - Zip Code:27858-4211
Practice Address - Country:US
Practice Address - Phone:252-830-0245
Practice Address - Fax:252-830-0247
Is Sole Proprietor?:Yes
Enumeration Date:2013-03-07
Last Update Date:2013-03-07
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
NCP13291225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist