Individual
SHARON E EBELT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
Mailing address
209 MARTIN LUTHER KING JR WAY, TACOMA, WA 98405-4265
(253) 596-3300
(253) 596-3301
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
PT00006441
WA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
8383853
—
WA
Enumeration date
08/29/2005
Last updated
04/26/2021
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