Individual
STEPHANIE EDNA SHARP
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
LPTA
Contact information
Practice address
303 N HURSTBOURNE PKWY STE 200, LOUISVILLE, KY 40222-5158
(502) 412-5847
Mailing address
3489 BLUE LAKE DR, FLINT, MI 48506-2083
(810) 288-3075
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5502001794
MI
Other
Enumeration date
09/02/2012
Last updated
09/02/2012
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