| NPI | 1275710568 |
|---|---|
| Former Name | SHARON DENISE BURRELL |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | Yes |
| Primary Taxonomy | 225200000X Physical Therapy Assistant (Licence: LA A3947R) |
| Additional Taxonomies | 225200000X Physical Therapy Assistant (Licence: TX 2002507) |
| Enumeration Date | 2008-01-29 |
| Last Update Date | 2008-01-29 |