Provider Demographics
NPI:1962442582
Name:YABUT, SHARON ROSE ECRAELA (PT)
Entity Type:Individual
Prefix:MRS
First Name:SHARON ROSE
Middle Name:ECRAELA
Last Name:YABUT
Suffix:
Gender:F
Credentials:PT
Other - Prefix:MRS
Other - First Name:SHARON ROSE
Other - Middle Name:ECRAELA
Other - Last Name:YABUT
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:PT
Mailing Address - Street 1:2 MEADOWLARK LN
Mailing Address - Street 2:
Mailing Address - City:FRANKLIN PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:08823-1809
Mailing Address - Country:US
Mailing Address - Phone:732-422-2396
Mailing Address - Fax:
Practice Address - Street 1:1527 ROUTE 27
Practice Address - Street 2:MULTICARE THERAPY CENTER , SUITE 1100
Practice Address - City:SOMERSET
Practice Address - State:NJ
Practice Address - Zip Code:08873
Practice Address - Country:US
Practice Address - Phone:732-545-7474
Practice Address - Fax:732-545-2880
Is Sole Proprietor?:No
Enumeration Date:2006-06-08
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJ40QA00352600225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist