Individual
MRS. DIANE LYNN SHARR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
07074
MD
225X00000X
Occupational Therapist
OC-002363-L
PA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
18780100003
—
PA
Enumeration date
08/01/2005
Last updated
06/03/2021
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