Individual
SHARON L FORD
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
17232 VANBUREN ST NE, HAM LAKE, MN 55304-4166
(763) 742-5489
Mailing address
17232 VANBUREN ST NE, HAM LAKE, MN 55304-4166
(763) 742-5489
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A67
MN
Other
Enumeration date
08/31/2012
Last updated
08/31/2012
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