Provider Demographics
NPI:1518273291
Name:JUSTICE, SHARON ADELE (PT, DPT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ADELE
Last Name:JUSTICE
Suffix:
Gender:F
Credentials:PT, DPT
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:THACKER
Other - Last Name:JUSTICE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:PO DRAWER Z
Mailing Address - Street 2:
Mailing Address - City:HOT SPRINGS
Mailing Address - State:VA
Mailing Address - Zip Code:24445
Mailing Address - Country:US
Mailing Address - Phone:540-839-7336
Mailing Address - Fax:540-839-2554
Practice Address - Street 1:9232 SAM SNEAD HIGHWAY
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:VA
Practice Address - Zip Code:24445
Practice Address - Country:US
Practice Address - Phone:540-839-7336
Practice Address - Fax:540-839-2554
Is Sole Proprietor?:No
Enumeration Date:2010-08-19
Last Update Date:2010-08-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist