Provider Demographics
NPI:1346416088
Name:VILLINES, SHARON W
Entity Type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:W
Last Name:VILLINES
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1716 LEGION RD
Mailing Address - Street 2:
Mailing Address - City:CHAPEL HILL
Mailing Address - State:NC
Mailing Address - Zip Code:27517-2390
Mailing Address - Country:US
Mailing Address - Phone:919-942-2280
Mailing Address - Fax:919-933-8742
Practice Address - Street 1:1716 LEGION RD
Practice Address - Street 2:
Practice Address - City:CHAPEL HILL
Practice Address - State:NC
Practice Address - Zip Code:27517-2390
Practice Address - Country:US
Practice Address - Phone:919-942-2280
Practice Address - Fax:919-933-8742
Is Sole Proprietor?:Yes
Enumeration Date:2008-05-02
Last Update Date:2008-05-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC6380174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes174400000XOther Service ProvidersSpecialist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NC6380OtherNORTH CAROLINA BOARD OF OCCUPATIONAL THERAPY