Provider Demographics
NPI:1467761999
Name:WEIL, SHARON DAWN (PTA)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:DAWN
Last Name:WEIL
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1126 N FRANKLIN ST
Mailing Address - Street 2:
Mailing Address - City:CHAMBERSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17201-8700
Mailing Address - Country:US
Mailing Address - Phone:772-341-9304
Mailing Address - Fax:
Practice Address - Street 1:6596 ORPHANAGE ROAD
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:PA
Practice Address - Zip Code:17247
Practice Address - Country:US
Practice Address - Phone:717-749-2300
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2010-10-01
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PATEI002690225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant