Individual
SHARMARIE STREET
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
11340 W BELL RD, SURPRISE, AZ 85378-9342
(623) 469-9482
Mailing address
6340 W GOLDEN LN, GLENDALE, AZ 85302-4433
(602) 281-5420
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
PTA-014193
AZ
Other
Enumeration date
05/19/2023
Last updated
05/19/2023
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