Individual
MS. SHARON JOAN WORTH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
O.T.
Contact information
Practice address
65 BERGEN ST, NEWARK, NJ 07107-3001
(973) 972-0186
Mailing address
94 PARK AVE APT 6, NUTLEY, NJ 07110-3511
(973) 342-6350
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
46TR00232800
NJ
Other
Enumeration date
04/25/2007
Last updated
07/08/2007
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