Individual
CAROL SHEATS
Active
Individual
CAROL SHEATS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, OSC
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
J10000569
DE
2251G0304X
Geriatric Physical Therapist
J10000569
DE
2251S0007X
Sports Physical Therapist
J10000569
DE
2251X0800X
Orthopedic Physical Therapist
J10000569
DE
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
1578526646
CHAMPUS TRICARE
—
01
—
2625869000
AMERIHEALTH
DE
01
—
5070-0066
CAREFIRST
—
01
—
91453501
NCA
—
Enumeration date
04/10/2006
Last updated
03/09/2009
Update your record
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