Provider Demographics
NPI:1205849510
Name:DABAREINER, SHARON B (PT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:B
Last Name:DABAREINER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:76819 BISHOP PL
Mailing Address - Street 2:
Mailing Address - City:PALM DESERT
Mailing Address - State:CA
Mailing Address - Zip Code:92211-7121
Mailing Address - Country:US
Mailing Address - Phone:760-775-5511
Mailing Address - Fax:
Practice Address - Street 1:81577 DR. CARREON BLVD.
Practice Address - Street 2:SUITE C8
Practice Address - City:INDIO
Practice Address - State:CA
Practice Address - Zip Code:92201
Practice Address - Country:US
Practice Address - Phone:760-775-5511
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2006-08-15
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT 15651225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist