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Individual

CONSTANCE SHARP

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
451 VALLEY RD, SALEM, OH 44460-9725
(330) 537-4621
Mailing address
1735 S ROCKHILL AVE, ALLIANCE, OH 44601-3936

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
PTA03209
OH
225200000X
Physical Therapy Assistant
Primary

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
PTA03209
STATE OF OHIO LICENSE
OH
Enumeration date
06/19/2007
Last updated
01/15/2019
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