Provider Demographics
NPI:1851564496
Name:BUZA, SHARLA KAY (PT)
Entity Type:Individual
Prefix:
First Name:SHARLA
Middle Name:KAY
Last Name:BUZA
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 1:1460 WALTON BLVD STE 224
Mailing Address - Street 2:
Mailing Address - City:ROCHESTER HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48309-1729
Mailing Address - Country:US
Mailing Address - Phone:248-274-6338
Mailing Address - Fax:248-564-3243
Practice Address - Street 1:1460 WALTON BLVD STE 224
Practice Address - Street 2:
Practice Address - City:ROCHESTER HILLS
Practice Address - State:MI
Practice Address - Zip Code:48309-1729
Practice Address - Country:US
Practice Address - Phone:586-274-6338
Practice Address - Fax:248-564-3243
Is Sole Proprietor?:No
Enumeration Date:2008-04-03
Last Update Date:2023-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI5501010055225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist