Provider Demographics
NPI:1588023972
Name:DEAN, SHARON E
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:E
Last Name:DEAN
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:25 NORTH ST
Mailing Address - Street 2:SUITE D
Mailing Address - City:DUBLIN
Mailing Address - State:OH
Mailing Address - Zip Code:43017-2193
Mailing Address - Country:US
Mailing Address - Phone:614-726-5844
Mailing Address - Fax:
Practice Address - Street 1:25 NORTH ST
Practice Address - Street 2:SUITE D
Practice Address - City:DUBLIN
Practice Address - State:OH
Practice Address - Zip Code:43017-2193
Practice Address - Country:US
Practice Address - Phone:614-726-5844
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2016-02-15
Last Update Date:2016-02-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH33.022541225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist