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NPI Code Detail

MEDICARE: SHARON PORTER OT

MEDICARE: SHARON PORTER OT
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
1225X00000XOccupational TherapistOC009682PA

General Provider Information

NPI Number : 1861510216
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON PORTER OT
Provider Business Mailing Address
First Line : 5402 DRAWBRIDGE CT
Second Line :
City : LIMERICK
State : PA
Zip : 19468-1387
Country : US
Telephone Number : 610-239-7100
Fax Number :
Provider Business Practice Location Address
First Line : 1700 PINE ST
Second Line :
City : NORRISTOWN
State : PA
Zip : 19401-3040
Country : US
Telephone Number : 610-239-7100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/26/2007
Last Update Date : 07/08/2007

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Directions to “ SHARON PORTER OT” Practice Location

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