Provider Demographics
NPI:1649417056
Name:CLOSNER, SHARON (OT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:CLOSNER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:15320 E DAVIS RD
Mailing Address - Street 2:
Mailing Address - City:EDINBURG
Mailing Address - State:TX
Mailing Address - Zip Code:78542-1125
Mailing Address - Country:US
Mailing Address - Phone:281-650-9049
Mailing Address - Fax:
Practice Address - Street 1:15320 E DAVIS RD
Practice Address - Street 2:
Practice Address - City:EDINBURG
Practice Address - State:TX
Practice Address - Zip Code:78542-1125
Practice Address - Country:US
Practice Address - Phone:281-650-9049
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2009-01-07
Last Update Date:2013-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD07049225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist