Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 2251P0200X | Physical Therapist - Pediatrics | 07814 | MD |
N | 225X00000X | Occupational Therapist | 2000173844 | MO |
NPI | 1063576791 |
---|---|
Provider Name | Amy Ann Sharp |
First Address | Silver Spring, MD 20906-3020 |
Second Address | Columbia, MD 21045-1840 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 20/12/2006 |
Last Update Date | 30/03/2016 |