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NPI Code Detail

MEDICARE: TINA SHARMA M.P.T.

MEDICARE:   TINA  SHARMA  M.P.T.
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
1225100000XPhysical Therapist2305202069VA

General Provider Information

NPI Number : 1841286341
Entity Type Code : Individual
Provider Name (Legal Business Name) : TINA SHARMA M.P.T.
Provider Business Mailing Address
First Line : 9269 OLD KEENE MILL RD STE A
Second Line :
City : BURKE
State : VA
Zip : 22015-4202
Country : US
Telephone Number : 732-895-8668
Fax Number : 571-358-8800
Provider Business Practice Location Address
First Line : 9269 OLD KEENE MILL RD STE A
Second Line :
City : BURKE
State : VA
Zip : 22015-4202
Country : US
Telephone Number : 703-455-0115
Fax Number : 571-358-8800
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 09/21/2005
Last Update Date : 08/08/2011

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Directions to “ TINA SHARMA M.P.T.” Practice Location

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