Individual
MS. SHARON MARIE CAULKINS MOULTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
39022 PRESIDIO WAY, FREMONT, CA 94538-1221
(510) 792-3743
Mailing address
4691 SLOAN ST, FREMONT, CA 94538-1923
(510) 438-9387
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
AT2597
CA
Other
Enumeration date
05/16/2007
Last updated
07/08/2007
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