Individual
JENNIFER SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1852 210TH RD, WATHENA, KS 66090-4065
(785) 989-2163
Mailing address
1852 210TH RD, WATHENA, KS 66090-4065
(785) 989-2163
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
14-01421
KS
Other
Enumeration date
01/09/2015
Last updated
01/09/2015
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