Provider Demographics
NPI:1245426923
Name:COVEY, SHARON ANN (OTR/L)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:ANN
Last Name:COVEY
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5910 HARPER RD. STE 102
Mailing Address - Street 2:
Mailing Address - City:SOLON
Mailing Address - State:OH
Mailing Address - Zip Code:44139
Mailing Address - Country:US
Mailing Address - Phone:844-987-8765
Mailing Address - Fax:844-987-8765
Practice Address - Street 1:5910 HARPER RD STE 102
Practice Address - Street 2:
Practice Address - City:SOLON
Practice Address - State:OH
Practice Address - Zip Code:44139-1886
Practice Address - Country:US
Practice Address - Phone:844-987-8765
Practice Address - Fax:844-987-8765
Is Sole Proprietor?:Yes
Enumeration Date:2007-09-17
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT-05679225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH3001110Medicaid