Provider Demographics
NPI:1629307368
Name:NANCE, SHEILA T (PT)
Entity Type:Individual
Prefix:
First Name:SHEILA
Middle Name:T
Last Name:NANCE
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SHEILA
Other - Middle Name:R
Other - Last Name:TERRELL
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:800-944-9782
Mailing Address - Fax:610-438-2024
Practice Address - Street 1:140 CARRIAGE CLUB DR
Practice Address - Street 2:
Practice Address - City:MOORESVILLE
Practice Address - State:NC
Practice Address - Zip Code:28117-9284
Practice Address - Country:US
Practice Address - Phone:704-658-1200
Practice Address - Fax:704-662-8509
Is Sole Proprietor?:No
Enumeration Date:2009-12-09
Last Update Date:2009-12-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCP7417225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist