Provider Demographics
NPI:1669170312
Name:SHARMA, JENNIFER RUSHER (PT, DPT, GCS)
Entity type:Individual
Prefix:
First Name:JENNIFER
Middle Name:RUSHER
Last Name:SHARMA
Suffix:
Gender:F
Credentials:PT, DPT, GCS
Other - Prefix:
Other - First Name:JENNIFER
Other - Middle Name:DAILEY
Other - Last Name:RUSHER
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT, DPT
Mailing Address - Street 1:289 GREAT RD STE 102
Mailing Address - Street 2:
Mailing Address - City:ACTON
Mailing Address - State:MA
Mailing Address - Zip Code:01720-4769
Mailing Address - Country:US
Mailing Address - Phone:978-263-3600
Mailing Address - Fax:
Practice Address - Street 1:289 GREAT RD STE 102
Practice Address - Street 2:
Practice Address - City:ACTON
Practice Address - State:MA
Practice Address - Zip Code:01720-4769
Practice Address - Country:US
Practice Address - Phone:978-263-3600
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-22
Last Update Date:2023-02-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA22820225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist