Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225X00000X | Occupational Therapist | U1-0001159 | DE |
NPI | 1003132390 |
---|---|
Provider Name | Mara L Sharp |
First Address | Newark, DE 19711-7136 |
Second Address | Newark, DE 19711-7136 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 13/04/2010 |
Last Update Date | 13/04/2010 |