Provider Demographics
NPI:1770765653
Name:DELFINER, SHARON (OTR/L)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:
Last Name:DELFINER
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:513 KENILWORTH RD
Mailing Address - Street 2:
Mailing Address - City:MERION STATION
Mailing Address - State:PA
Mailing Address - Zip Code:19066-1310
Mailing Address - Country:US
Mailing Address - Phone:610-220-4665
Mailing Address - Fax:
Practice Address - Street 1:513 KENILWORTH RD
Practice Address - Street 2:
Practice Address - City:MERION STATION
Practice Address - State:PA
Practice Address - Zip Code:19066-1310
Practice Address - Country:US
Practice Address - Phone:610-220-4665
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-12-03
Last Update Date:2019-06-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAOC004295L172V00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes172V00000XOther Service ProvidersCommunity Health Worker