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Individual

CARRIE LENEIGH MINICK SHARKEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MSPT, COMT

Contact information

Practice address
925 S RIVER RD, ENGLEWOOD, FL 34223-3909
(941) 475-3516
(941) 475-3403
Mailing address
925 S RIVER RD, ENGLEWOOD, FL 34223-3909
(941) 475-3516
(941) 475-3403

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 24762
FL
2251X0800X
Orthopedic Physical Therapist
Primary
PT008218
OH

Other

Enumeration date
08/18/2009
Last updated
08/18/2009
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