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Individual

SHARON C. SHOCKLEY

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
LPTA

Contact information

Practice address
114 HARPERS HOP DR, MADISON, AL 35758-7504
(256) 797-3737
Mailing address
114 HARPERS HOP DR, MADISON, AL 35758-7504

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2092007
TX
225200000X
Physical Therapy Assistant
5475
TN
225200000X
Physical Therapy Assistant
PTA 6529
AL
225200000X
Physical Therapy Assistant
Primary
PTA6529
AL

Other

Enumeration date
05/08/2013
Last updated
07/03/2013
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