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Individual

SHARON NORD

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
P. T.

Contact information

Practice address
8100 ASHTON AVE STE 209, MANASSAS, VA 20109-5688
(571) 379-5285
(571) 379-5283
Mailing address
7915 LAKE MANASSAS DR STE 305, GAINESVILLE, VA 20155-3260
(571) 248-0248
(571) 248-0250

Taxonomy

Speciality
Code
Description
License number
State
208100000X
Physical Medicine & Rehabilitation Physician
Primary
2305211666
VA
225100000X
Physical Therapist
21814
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1679630073
FACILITY NPI NUMBER
MD
01
1952558918
GROUP NPI
VA
01
283MS009
MEDICARE PTAN
MD
Enumeration date
11/14/2007
Last updated
09/06/2019
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