MEDICARE: SHARON RAZLA OTR/L

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225X00000X	Occupational Therapist	OT18397	FL

General Provider Information

NPI Number	:	1699296251
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	SHARON RAZLA OTR/L

Provider Business Mailing Address
First Line	:	1333 E HALLANDALE BEACH BLVD APT 116
Second Line	:
City	:	HALLANDALE BEACH
State	:	FL
Zip	:	33009-4607
Country	:	US
Telephone Number	:	954-303-7483
Fax Number	:

Provider Business Practice Location Address
First Line	:	1844 N UNIVERSITY DR
Second Line	:
City	:	CORAL SPRINGS
State	:	FL
Zip	:	33071-6031
Country	:	US
Telephone Number	:	954-255-1515
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	07/04/2017
Last Update Date	:	07/04/2017

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Directions to “ SHARON RAZLA OTR/L” Practice Location

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