Provider Demographics
NPI:1811509698
Name:SHARKEY PEDIATRIC OCCUPATIONAL THERAPY
Entity type:Organization
Organization Name:SHARKEY PEDIATRIC OCCUPATIONAL THERAPY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRACTITIONER
Authorized Official - Prefix:
Authorized Official - First Name:ERIN
Authorized Official - Middle Name:SHARKEY
Authorized Official - Last Name:GORMLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:410-305-9120
Mailing Address - Street 1:373 WALNUT TRL
Mailing Address - Street 2:
Mailing Address - City:CROWNSVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21032-1732
Mailing Address - Country:US
Mailing Address - Phone:410-305-9120
Mailing Address - Fax:410-571-0030
Practice Address - Street 1:373 WALNUT TRL
Practice Address - Street 2:
Practice Address - City:CROWNSVILLE
Practice Address - State:MD
Practice Address - Zip Code:21032-1732
Practice Address - Country:US
Practice Address - Phone:410-305-9120
Practice Address - Fax:410-571-0030
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-21
Last Update Date:2020-09-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes225XP0200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistPediatricsGroup - Single Specialty