Provider Demographics
NPI:1346561073
Name:GELLER, SHARON MARGO (MS, PT)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:MARGO
Last Name:GELLER
Suffix:
Gender:F
Credentials:MS, PT
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:MARGO
Other - Last Name:ADLERSTEIN
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:25 EMERSON LN
Mailing Address - Street 2:
Mailing Address - City:HOLLIS
Mailing Address - State:NH
Mailing Address - Zip Code:03049-6292
Mailing Address - Country:US
Mailing Address - Phone:603-465-7826
Mailing Address - Fax:603-465-7829
Practice Address - Street 1:282 ROUTE 101 UNIT 11
Practice Address - Street 2:
Practice Address - City:AMHERST
Practice Address - State:NH
Practice Address - Zip Code:03031-1706
Practice Address - Country:US
Practice Address - Phone:603-672-5125
Practice Address - Fax:603-672-5126
Is Sole Proprietor?:No
Enumeration Date:2010-06-16
Last Update Date:2021-11-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH2516225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist