Individual
MRS. SHARON J. ELLIOTT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2715 DICKINSON AVE, GREENVILLE, NC 27834-5099
(252) 215-3093
Mailing address
2715 DICKINSON AVE, GREENVILLE, NC 27834-5099
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0407
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
10811
BLUECROSS BLUESHIELD
NC
05
—
7301910
—
NC
Enumeration date
08/23/2006
Last updated
04/30/2013
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