Provider Demographics
NPI:1609575620
Name:MCCLOSKEY, SHARON MARIA (EDD, MBA, OT/L, CPT)
Entity type:Individual
Prefix:DR
First Name:SHARON
Middle Name:MARIA
Last Name:MCCLOSKEY
Suffix:
Gender:F
Credentials:EDD, MBA, OT/L, CPT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6 LOVERS LN
Mailing Address - Street 2:
Mailing Address - City:MONROE
Mailing Address - State:CT
Mailing Address - Zip Code:06468-1852
Mailing Address - Country:US
Mailing Address - Phone:203-216-6697
Mailing Address - Fax:
Practice Address - Street 1:396 DANBURY RD STE 2A
Practice Address - Street 2:
Practice Address - City:WILTON
Practice Address - State:CT
Practice Address - Zip Code:06897-2024
Practice Address - Country:US
Practice Address - Phone:203-202-7654
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2023-02-28
Last Update Date:2023-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CT000923225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist