Provider Demographics
NPI:1245568435
Name:WORKMAN, SHARMAINE D (PT)
Entity Type:Individual
Prefix:
First Name:SHARMAINE
Middle Name:D
Last Name:WORKMAN
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 1:34510 SMITHSON VALLEY RD
Mailing Address - Street 2:
Mailing Address - City:BULVERDE
Mailing Address - State:TX
Mailing Address - Zip Code:78163-2896
Mailing Address - Country:US
Mailing Address - Phone:937-631-1020
Mailing Address - Fax:
Practice Address - Street 1:34510 SMITHSON VALLEY RD
Practice Address - Street 2:
Practice Address - City:BULVERDE
Practice Address - State:TX
Practice Address - Zip Code:78163-2896
Practice Address - Country:US
Practice Address - Phone:937-631-1020
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-11-26
Last Update Date:2009-11-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX1190900225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist