Provider Demographics
NPI:1275690794
Name:HARPER, SHARON ANN (COTAL)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:HARPER
Suffix:
Gender:F
Credentials:COTAL
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2923 STANDISH AVE
Mailing Address - Street 2:
Mailing Address - City:PARMA
Mailing Address - State:OH
Mailing Address - Zip Code:44134-4245
Mailing Address - Country:US
Mailing Address - Phone:800-233-8611
Mailing Address - Fax:330-732-2543
Practice Address - Street 1:2923 STANDISH AVE
Practice Address - Street 2:
Practice Address - City:PARMA
Practice Address - State:OH
Practice Address - Zip Code:44134-4245
Practice Address - Country:US
Practice Address - Phone:800-233-8611
Practice Address - Fax:330-732-2543
Is Sole Proprietor?:No
Enumeration Date:2007-01-03
Last Update Date:2018-10-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
224Z00000X
OH03685224Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant