Provider Demographics
NPI: | 1609091404 |
---|---|
Name: | MUFF, SHARON KAY (PT) |
Entity type: | Individual |
Prefix: | MRS |
First Name: | SHARON |
Middle Name: | KAY |
Last Name: | MUFF |
Suffix: | |
Gender: | F |
Credentials: | PT |
Other - Prefix: | MISS |
Other - First Name: | SHARON |
Other - Middle Name: | KAY |
Other - Last Name: | MILLER |
Other - Suffix: | |
Other - Last Name Type: | Former Name |
Other - Credentials: | PT |
Mailing Address - Street 1: | 350 SOUTH MAIN STREET |
Mailing Address - Street 2: | SUITE 315 INVO HEALTHCARE ASSOCIATES |
Mailing Address - City: | DOYLESTOWN |
Mailing Address - State: | PA |
Mailing Address - Zip Code: | 18901 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 215-489-8760 |
Mailing Address - Fax: | 215-489-8766 |
Practice Address - Street 1: | 350 SOUTH MAIN STREET |
Practice Address - Street 2: | SUITE 315 INVO HEALTHCARE ASSOCIATES |
Practice Address - City: | DOYLESTOWN |
Practice Address - State: | PA |
Practice Address - Zip Code: | 18901 |
Practice Address - Country: | US |
Practice Address - Phone: | 215-489-8760 |
Practice Address - Fax: | 215-489-8766 |
Is Sole Proprietor?: | No |
Enumeration Date: | 2007-04-16 |
Last Update Date: | 2007-07-08 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Licenses
State | License ID | Taxonomies |
---|---|---|
PA | PT009938L | 225100000X |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization |
---|---|---|---|---|
Yes | 225100000X | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapist |
Provider Identifiers
State | Identifier ID | ID Type | Issuer |
---|---|---|---|
PA | 0019268890002 | Other | MA NUMBER |