Provider Demographics
NPI:1851575849
Name:DENNER, SHARON COLLEEN (OT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:COLLEEN
Last Name:DENNER
Suffix:
Gender:F
Credentials:OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:2107 RICHMOND DR
Mailing Address - Street 2:
Mailing Address - City:HARRISONVILLE
Mailing Address - State:MO
Mailing Address - Zip Code:64701-6900
Mailing Address - Country:US
Mailing Address - Phone:816-884-4041
Mailing Address - Fax:
Practice Address - Street 1:2001 S JEFFERSON PKWY
Practice Address - Street 2:
Practice Address - City:HARRISONVILLE
Practice Address - State:MO
Practice Address - Zip Code:64701-3714
Practice Address - Country:US
Practice Address - Phone:816-380-4731
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2007-12-26
Last Update Date:2011-01-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MO2009029357225XG0600X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225XG0600XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistGerontology