Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 225100000X | Physical Therapist | 14623 | MD |
NPI | 1003189879 |
---|---|
Provider Name | Sharon A Reid |
First Address | Garner, NC 27529-2665 |
Second Address | Westminster, MD 21157-6664 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | No |
Is Organization Subpart | N/A |
Enumeration Date | 09/02/2012 |
Last Update Date | 15/03/2021 |