Provider Demographics
NPI:1881648848
Name:LANDERS, SHARLYNN CHRISTINE (PT)
Entity Type:Individual
Prefix:
First Name:SHARLYNN
Middle Name:CHRISTINE
Last Name:LANDERS
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:PO BOX 7507
Mailing Address - Street 2:
Mailing Address - City:CHICO
Mailing Address - State:CA
Mailing Address - Zip Code:95927-7507
Mailing Address - Country:US
Mailing Address - Phone:530-345-4446
Mailing Address - Fax:530-345-4448
Practice Address - Street 1:1293 E 1ST AVE
Practice Address - Street 2:SUITE B
Practice Address - City:CHICO
Practice Address - State:CA
Practice Address - Zip Code:95926-1548
Practice Address - Country:US
Practice Address - Phone:530-345-4446
Practice Address - Fax:530-345-4448
Is Sole Proprietor?:Not Answered
Enumeration Date:2006-05-22
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT19652225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist