Provider Demographics
NPI:1932330826
Name:SCHARSTEIN, SHARON J (LMT)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:J
Last Name:SCHARSTEIN
Suffix:
Gender:F
Credentials:LMT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:7210 HAMILTON RD
Mailing Address - Street 2:
Mailing Address - City:BRADENTON
Mailing Address - State:FL
Mailing Address - Zip Code:34209-5886
Mailing Address - Country:US
Mailing Address - Phone:941-962-3903
Mailing Address - Fax:866-307-6164
Practice Address - Street 1:6404 MANATEE AVE W
Practice Address - Street 2:SUITE J
Practice Address - City:BRADENTON
Practice Address - State:FL
Practice Address - Zip Code:34209-2379
Practice Address - Country:US
Practice Address - Phone:941-962-3903
Practice Address - Fax:866-307-6164
Is Sole Proprietor?:Yes
Enumeration Date:2009-07-27
Last Update Date:2010-08-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL45743225700000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225700000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersMassage Therapist