Provider Demographics
NPI:1821173923
Name:GARRETT, SHARNA' (DPT)
Entity Type:Individual
Prefix:MRS
First Name:SHARNA'
Middle Name:
Last Name:GARRETT
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:MISS
Other - First Name:SHARNA'
Other - Middle Name:
Other - Last Name:GRAY
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:DPT, ATC
Mailing Address - Street 1:642 S QUEEN ST
Mailing Address - Street 2:
Mailing Address - City:DOVER
Mailing Address - State:DE
Mailing Address - Zip Code:19904-3506
Mailing Address - Country:US
Mailing Address - Phone:302-674-1269
Mailing Address - Fax:302-674-1749
Practice Address - Street 1:642 S QUEEN ST
Practice Address - Street 2:SUITE 101
Practice Address - City:DOVER
Practice Address - State:DE
Practice Address - Zip Code:19904-3506
Practice Address - Country:US
Practice Address - Phone:302-674-1269
Practice Address - Fax:302-674-1749
Is Sole Proprietor?:No
Enumeration Date:2006-10-26
Last Update Date:2011-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
DEJ1-00002068225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
DEG00716Medicare PIN
DE220816ZBSXMedicare PIN