Individual
SHARON E O'NEILL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1590 E POLSTON AVE STE B, POST FALLS, ID 83854-5218
(208) 777-4242
(208) 777-4020
Mailing address
1590 E POLSTON AVE STE B, POST FALLS, ID 83854-5218
(509) 863-4346
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-5182
ID
Other
Enumeration date
07/03/2017
Last updated
03/17/2018
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