Provider Demographics
NPI:1770860496
Name:HARRIS, SHARON HOBBS (OTR/L)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:HOBBS
Last Name:HARRIS
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:5112 YELLOWWOOD AVE
Mailing Address - Street 2:
Mailing Address - City:BALTIMORE
Mailing Address - State:MD
Mailing Address - Zip Code:21209-4611
Mailing Address - Country:US
Mailing Address - Phone:410-258-2062
Mailing Address - Fax:
Practice Address - Street 1:4650 TAYLOR RD
Practice Address - Street 2:
Practice Address - City:BETHESDA
Practice Address - State:MD
Practice Address - Zip Code:20889-5901
Practice Address - Country:US
Practice Address - Phone:301-295-8792
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2011-11-09
Last Update Date:2023-11-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD01445225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD01445OtherTHE MARYLAND STATE BOARD OF OCCUPATIONAL THERAPY PRACTICE
AA468140OtherNATIONAL BOARD FOR CERTIFICATION IN OCCUPATIONAL THERAPY, INC.
000000468140OtherTHE AMERICAN OCCUPATIONAL THERAPY ASSOCIATION, INC.