Provider Demographics
NPI:1598357493
Name:COLESCOTT, SHARON MARIE (PT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:MARIE
Last Name:COLESCOTT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:8081 BRANCH RD SE
Mailing Address - Street 2:
Mailing Address - City:SCIO
Mailing Address - State:OH
Mailing Address - Zip Code:43988-9552
Mailing Address - Country:US
Mailing Address - Phone:330-324-2945
Mailing Address - Fax:740-264-7116
Practice Address - Street 1:8081 BRANCH RD SE
Practice Address - Street 2:
Practice Address - City:SCIO
Practice Address - State:OH
Practice Address - Zip Code:43988-9552
Practice Address - Country:US
Practice Address - Phone:330-324-2945
Practice Address - Fax:740-264-7116
Is Sole Proprietor?:Yes
Enumeration Date:2021-02-11
Last Update Date:2021-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH007372225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist