Individual
JOSHUA WAYNE SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
615 CANAL AVE E, WYNNE, AR 72396-3003
(870) 238-2233
(870) 208-8255
Mailing address
PO BOX 623, BROOKLAND, AR 72417-0623
(870) 238-2233
(870) 208-8255
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTR2868
AR
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
OTR2868
LICENSE NUMBER
AR
Enumeration date
01/05/2016
Last updated
01/05/2016
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