Provider Demographics
NPI:1205407392
Name:TURLA, SHARON BAYDAL (DPT)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:BAYDAL
Last Name:TURLA
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 1:2516 GLYNCASTLE WAY
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28056-7515
Mailing Address - Country:US
Mailing Address - Phone:704-830-4088
Mailing Address - Fax:
Practice Address - Street 1:2516 GLYNCASTLE WAY
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28056-7515
Practice Address - Country:US
Practice Address - Phone:704-830-4088
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2021-07-08
Last Update Date:2021-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP11405225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist