Provider Demographics
NPI:1518157817
Name:SOLEIMANI, SHARON R (OTR/L, MOT, CHT)
Entity Type:Individual
Prefix:MISS
First Name:SHARON
Middle Name:R
Last Name:SOLEIMANI
Suffix:
Gender:F
Credentials:OTR/L, MOT, CHT
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:R
Other - Last Name:PASCUA
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9040 FRIARS RD STE 410
Mailing Address - Street 2:
Mailing Address - City:SAN DIEGO
Mailing Address - State:CA
Mailing Address - Zip Code:92108-5862
Mailing Address - Country:US
Mailing Address - Phone:949-842-7669
Mailing Address - Fax:
Practice Address - Street 1:9040 FRIARS RD STE 410
Practice Address - Street 2:
Practice Address - City:SAN DIEGO
Practice Address - State:CA
Practice Address - Zip Code:92108-5862
Practice Address - Country:US
Practice Address - Phone:949-842-7669
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-08-01
Last Update Date:2019-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CA8140225X00000X
CA201611150225XH1200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
No225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand