Individual
MS. SHARON SUE BULTHAUP
Active
Individual
MS. SHARON SUE BULTHAUP
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MOTL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1265
NM
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
T6975
—
NM
Enumeration date
04/10/2007
Last updated
07/08/2007
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