Provider Demographics
NPI:1831445097
Name:CUTLER, SHARON ANN (PT)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:ANN
Last Name:CUTLER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:ANN
Other - Last Name:CREDITO
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:PT
Mailing Address - Street 1:10845 TOWN CENTER BLVD
Mailing Address - Street 2:SUITE 100
Mailing Address - City:DUNKIRK
Mailing Address - State:MD
Mailing Address - Zip Code:20754-2712
Mailing Address - Country:US
Mailing Address - Phone:410-257-5263
Mailing Address - Fax:410-257-5341
Practice Address - Street 1:10845 TOWN CENTER BLVD
Practice Address - Street 2:SUITE 100
Practice Address - City:DUNKIRK
Practice Address - State:MD
Practice Address - Zip Code:20754-2712
Practice Address - Country:US
Practice Address - Phone:410-257-5263
Practice Address - Fax:410-257-5341
Is Sole Proprietor?:No
Enumeration Date:2012-07-25
Last Update Date:2015-08-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD22639225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist