Provider Demographics
NPI:1710979455
Name:OSTER, SHARON ANN (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:ANN
Last Name:OSTER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:SHARON
Other - Middle Name:ANN
Other - Last Name:TERFEHR
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:
Mailing Address - Street 1:3831 W CHARLESTON BLVD
Mailing Address - Street 2:
Mailing Address - City:LAS VEGAS
Mailing Address - State:NV
Mailing Address - Zip Code:89102-1859
Mailing Address - Country:US
Mailing Address - Phone:702-876-1733
Mailing Address - Fax:702-787-2018
Practice Address - Street 1:921 S HIGHWAY 160
Practice Address - Street 2:STE 409
Practice Address - City:PAHRUMP
Practice Address - State:NV
Practice Address - Zip Code:89048-4698
Practice Address - Country:US
Practice Address - Phone:775-727-3781
Practice Address - Fax:775-727-3838
Is Sole Proprietor?:No
Enumeration Date:2005-08-18
Last Update Date:2007-11-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NV1157225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
NV100503693Medicaid
NVV39750Medicare PIN