Provider Demographics
NPI:1366656217
Name:GORMAN, SHARON LYNN (PT, DPTSC, GCS)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:LYNN
Last Name:GORMAN
Suffix:
Gender:F
Credentials:PT, DPTSC, GCS
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:450 30TH ST
Mailing Address - Street 2:SUITE 3734
Mailing Address - City:OAKLAND
Mailing Address - State:CA
Mailing Address - Zip Code:94609-3302
Mailing Address - Country:US
Mailing Address - Phone:510-869-6511
Mailing Address - Fax:510-869-6282
Practice Address - Street 1:450 30TH ST
Practice Address - Street 2:SUITE 3734
Practice Address - City:OAKLAND
Practice Address - State:CA
Practice Address - Zip Code:94609-3302
Practice Address - Country:US
Practice Address - Phone:510-869-6511
Practice Address - Fax:510-869-6282
Is Sole Proprietor?:No
Enumeration Date:2007-05-10
Last Update Date:2022-01-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA187572251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics