Provider Demographics
NPI:1285814533
Name:BRIONES, SHARON DOLOR ANDRADE (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHARON DOLOR
Middle Name:ANDRADE
Last Name:BRIONES
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 1:19 RIVERBEND CT
Mailing Address - Street 2:
Mailing Address - City:NEWBURGH
Mailing Address - State:IN
Mailing Address - Zip Code:47630-9710
Mailing Address - Country:US
Mailing Address - Phone:812-202-1701
Mailing Address - Fax:
Practice Address - Street 1:19 RIVERBEND CT
Practice Address - Street 2:
Practice Address - City:NEWBURGH
Practice Address - State:IN
Practice Address - Zip Code:47630-9710
Practice Address - Country:US
Practice Address - Phone:812-202-1701
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-11-04
Last Update Date:2007-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KY005062225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist