Provider Demographics
NPI:1255656054
Name:CRIGER, SHARON A (DPT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:A
Last Name:CRIGER
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 1:13224 BAVARIAN DR
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92129-2372
Mailing Address - Country:US
Mailing Address - Phone:619-838-9481
Mailing Address - Fax:858-780-8681
Practice Address - Street 1:13224 BAVARIAN DR
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92129-2372
Practice Address - Country:US
Practice Address - Phone:619-838-9481
Practice Address - Fax:858-780-8681
Is Sole Proprietor?:Yes
Enumeration Date:2010-04-05
Last Update Date:2010-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT13473225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
CAPT13473Medicare PIN