Provider Demographics
NPI:1205524568
Name:HUANG, SHARNAI (DPT)
Entity type:Individual
Prefix:
First Name:SHARNAI
Middle Name:
Last Name:HUANG
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:462 1/2 CASANOVA ST
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90012-1026
Mailing Address - Country:US
Mailing Address - Phone:626-780-1123
Mailing Address - Fax:
Practice Address - Street 1:401 S GLENOAKS BLVD STE 212
Practice Address - Street 2:
Practice Address - City:BURBANK
Practice Address - State:CA
Practice Address - Zip Code:91502-2750
Practice Address - Country:US
Practice Address - Phone:747-286-6083
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-04-25
Last Update Date:2023-04-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CAPT303169225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist