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Individual

MRS. DIANE LYNN SHARR

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MOT

Contact information

Practice address
227 N CLEVELAND AVE, HAGERSTOWN, MD 21740-5000
(301) 773-3844
Mailing address
227 N CLEVELAND AVE, HAGERSTOWN, MD 21740-5000
(301) 733-3844
(301) 733-3804

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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