Provider Demographics
NPI:1740427152
Name:PERRY-FERRARI, SHARON (LMT)
Entity Type:Individual
Prefix:MS
First Name:SHARON
Middle Name:
Last Name:PERRY-FERRARI
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 DOVER CT
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER
Mailing Address - State:NY
Mailing Address - Zip Code:14624-5021
Mailing Address - Country:US
Mailing Address - Phone:585-455-1732
Mailing Address - Fax:585-426-2835
Practice Address - Street 1:6 DOVER CT
Practice Address - Street 2:
Practice Address - City:ROCHESTER
Practice Address - State:NY
Practice Address - Zip Code:14624-5021
Practice Address - Country:US
Practice Address - Phone:585-455-1732
Practice Address - Fax:585-426-2835
Is Sole Proprietor?:Yes
Enumeration Date:2009-01-08
Last Update Date:2009-01-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY022433225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist