Individual
MRS. SHARON STANLEY MACHEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3968 ROLLINGWOOD DR, SOUTHSIDE, AL 35907-0957
(256) 442-4894
Mailing address
3968 ROLLINGWOOD DR, SOUTHSIDE, AL 35907-0957
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0973
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
0973
OCCUPATIONAL THERAPY LICE
AL
Enumeration date
12/19/2006
Last updated
07/08/2007
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