Individual
MS. JANET L SHARP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
0022924015
UT
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10705124000001
BLUE CROSS BLUE SHIELD ID
UT
Enumeration date
07/10/2006
Last updated
07/08/2007
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