Provider Demographics
NPI:1801181292
Name:SHARPE, SHARON R (SCD, ATC)
Entity Type:Individual
Prefix:DR
First Name:SHARON
Middle Name:R
Last Name:SHARPE
Suffix:
Gender:F
Credentials:SCD, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:40 MACARTHUR RD
Mailing Address - Street 2:
Mailing Address - City:NATICK
Mailing Address - State:MA
Mailing Address - Zip Code:01760-2938
Mailing Address - Country:US
Mailing Address - Phone:508-259-1463
Mailing Address - Fax:
Practice Address - Street 1:40 MACARTHUR RD
Practice Address - Street 2:
Practice Address - City:NATICK
Practice Address - State:MA
Practice Address - Zip Code:01760-2938
Practice Address - Country:US
Practice Address - Phone:508-259-1463
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2011-06-14
Last Update Date:2011-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA2712255A2300X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer