| NPI | 1386870749 |
|---|---|
| Former Name | SCARLETT RENEE SHARP |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-03944) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2010006704) |
| Enumeration Date | 2009-05-29 |
| Last Update Date | 2023-11-09 |