Individual
SHARON SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTA
Contact information
Practice address
13243 WILLOW NEST DR, OLIVE BRANCH, MS 38654-5030
(662) 278-9226
Mailing address
13243 WILLOW NEST DR, OLIVE BRANCH, MS 38654-5030
(662) 278-9226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
09/16/2019
Last updated
09/16/2019
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