| NPI | 1568998060 |
|---|---|
| Former Name | SHARON A FUNK |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: CO 1292) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MT 769) |
| 225100000X Physical Therapist (Licence: IN 05012265A) | |
| Enumeration Date | 2017-05-04 |
| Last Update Date | 2017-05-04 |