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Individual

SHARON GUEST

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
204 LISTER ST STE A, CAVE JUNCTION, OR 97523-9047
(541) 592-4711
(541) 592-5175
Mailing address
1200 CORPORATE DR STE 400, BIRMINGHAM, AL 35242-5424
(423) 682-8840
(423) 602-2028

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
09549
OR
225700000X
Massage Therapist
MA43555
FL

Other

Enumeration date
07/27/2009
Last updated
02/25/2019
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