Provider Demographics
NPI:1538315445
Name:WHALEN, SHARON E (DPT)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:E
Last Name:WHALEN
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:18415 DUNBLANE CT
Mailing Address - Street 2:
Mailing Address - City:CORNELIUS
Mailing Address - State:NC
Mailing Address - Zip Code:28031-7531
Mailing Address - Country:US
Mailing Address - Phone:704-948-4546
Mailing Address - Fax:
Practice Address - Street 1:18415 DUNBLANE CT
Practice Address - Street 2:
Practice Address - City:CORNELIUS
Practice Address - State:NC
Practice Address - Zip Code:28031-7531
Practice Address - Country:US
Practice Address - Phone:704-948-4546
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2008-08-12
Last Update Date:2008-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NC95992251P0200X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251P0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistPediatrics