Provider Demographics
NPI:1407901408
Name:GELINAS, SHARON KAY (OTR)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:KAY
Last Name:GELINAS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14007 E DESERT VISTA TRL
Mailing Address - Street 2:
Mailing Address - City:SCOTTSDALE
Mailing Address - State:AZ
Mailing Address - Zip Code:85262-8106
Mailing Address - Country:US
Mailing Address - Phone:480-683-3158
Mailing Address - Fax:
Practice Address - Street 1:14007 E DESERT VISTA TRL
Practice Address - Street 2:
Practice Address - City:SCOTTSDALE
Practice Address - State:AZ
Practice Address - Zip Code:85262-8106
Practice Address - Country:US
Practice Address - Phone:602-370-8440
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-01-23
Last Update Date:2010-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ1861225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZZ138757Medicare PIN