Provider Demographics
NPI:1821278821
Name:HALLIHAN, SHARON ELIZABETH (PT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:ELIZABETH
Last Name:HALLIHAN
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2020 W CHIMNEY ROCK RD
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85085-2792
Mailing Address - Country:US
Mailing Address - Phone:602-230-7784
Mailing Address - Fax:602-230-0145
Practice Address - Street 1:2020 W CHIMNEY ROCK RD
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85085-2792
Practice Address - Country:US
Practice Address - Phone:602-230-7784
Practice Address - Fax:602-230-0145
Is Sole Proprietor?:No
Enumeration Date:2007-11-07
Last Update Date:2011-09-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AZ2134225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
AZAZ144424Medicare UPIN
AZAZ144424Medicare PIN