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Individual

SHARI ELIZABETH KONTRATH

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
BOCPD, CPED

Contact information

Practice address
6780 SAMBA ST, FORT PIERCE, FL 34945-3069
(772) 801-9475
(888) 789-0771
Mailing address
6780 SAMBA ST, FORT PIERCE, FL 34945-3069
(772) 801-9475
(888) 789-0771

Taxonomy

Speciality
Code
Description
License number
State
224L00000X
Pedorthist
Primary
C50548
FL

Other

Enumeration date
06/01/2017
Last updated
07/21/2022
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