Provider Demographics
NPI:1619124542
Name:FLINT, SHARON BURCAR (PTA)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:BURCAR
Last Name:FLINT
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:381 S MAIN ST
Mailing Address - Street 2:
Mailing Address - City:YUMA
Mailing Address - State:AZ
Mailing Address - Zip Code:85364-2340
Mailing Address - Country:US
Mailing Address - Phone:928-343-7828
Mailing Address - Fax:928-782-1019
Practice Address - Street 1:381 S MAIN ST
Practice Address - Street 2:
Practice Address - City:YUMA
Practice Address - State:AZ
Practice Address - Zip Code:85364-2340
Practice Address - Country:US
Practice Address - Phone:928-343-7828
Practice Address - Fax:928-782-1019
Is Sole Proprietor?:No
Enumeration Date:2008-08-21
Last Update Date:2008-08-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ7485A225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant