Healthcare Provider Details

I. General information

NPI: 1407901408
Provider Name (Legal Business Name): SHARON KAY GELINAS OTR
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 01/23/2007
Last Update Date: 09/28/2010
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

14007 E DESERT VISTA TRL
SCOTTSDALE AZ
85262-8106
US

IV. Provider business mailing address

14007 E DESERT VISTA TRL
SCOTTSDALE AZ
85262-8106
US

V. Phone/Fax

Practice location:
  • Phone: 602-370-8440
  • Fax:
Mailing address:
  • Phone: 480-683-3158
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225X00000X
TaxonomyOccupational Therapist
License Number1861
License Number StateAZ

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: