Provider Demographics
NPI:1609272293
Name:SHARBER, JULIE ANNE (PT)
Entity Type:Individual
Prefix:
First Name:JULIE
Middle Name:ANNE
Last Name:SHARBER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:JULIE
Other - Middle Name:
Other - Last Name:MCDURMONT
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:8353 GRAY FOX DR
Mailing Address - Street 2:
Mailing Address - City:EVERGREEN
Mailing Address - State:CO
Mailing Address - Zip Code:80439-6259
Mailing Address - Country:US
Mailing Address - Phone:303-618-7618
Mailing Address - Fax:
Practice Address - Street 1:8353 GRAY FOX DR
Practice Address - Street 2:
Practice Address - City:EVERGREEN
Practice Address - State:CO
Practice Address - Zip Code:80439-6259
Practice Address - Country:US
Practice Address - Phone:303-618-7618
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2014-11-10
Last Update Date:2014-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CO00053772251G0304X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251G0304XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistGeriatrics