Provider Demographics
NPI:1629302179
Name:NETTO, SHARON ZIADIE (OT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ZIADIE
Last Name:NETTO
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:LYNN
Other - Last Name:ZIADIE
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:OT
Mailing Address - Street 1:11946 NW 12TH STREET
Mailing Address - Street 2:
Mailing Address - City:PEMBROKE PINES
Mailing Address - State:FL
Mailing Address - Zip Code:33026
Mailing Address - Country:US
Mailing Address - Phone:954-443-0119
Mailing Address - Fax:
Practice Address - Street 1:11946 NW 12TH STREET
Practice Address - Street 2:
Practice Address - City:PEMBROKE PINES
Practice Address - State:FL
Practice Address - Zip Code:33026
Practice Address - Country:US
Practice Address - Phone:786-271-5586
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2009-09-30
Last Update Date:2009-09-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL09152225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist