Provider Demographics
NPI:1518088210
Name:SHARLEY, JULIET (MS OTR/L CHT)
Entity Type:Individual
Prefix:
First Name:JULIET
Middle Name:
Last Name:SHARLEY
Suffix:
Gender:F
Credentials:MS OTR/L CHT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4650 E COTTON CENTER BLVD STE 155
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85040-4803
Mailing Address - Country:US
Mailing Address - Phone:602-892-0915
Mailing Address - Fax:602-926-0910
Practice Address - Street 1:1355 S HIGLEY RD STE 101
Practice Address - Street 2:
Practice Address - City:GILBERT
Practice Address - State:AZ
Practice Address - Zip Code:85296-4799
Practice Address - Country:US
Practice Address - Phone:480-507-8080
Practice Address - Fax:480-507-8085
Is Sole Proprietor?:No
Enumeration Date:2007-04-02
Last Update Date:2018-03-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2986225100000X, 225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZ275109Medicaid