Healthcare Provider Details

I. General information

NPI: 1619266293
Provider Name (Legal Business Name): SHARON ANN ROHRMAN PTA
Entity Type: Individual
Gender: Female
Sole Proprietor: Y

II. Dates (important events)

Enumeration Date: 04/04/2011
Last Update Date: 04/04/2011
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5014 HANKA RD
FLOYDS KNOBS IN
47119-8706
US

IV. Provider business mailing address

5014 HANKA RD
FLOYDS KNOBS IN
47119-8706
US

V. Phone/Fax

Practice location:
  • Phone: 812-987-2145
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225200000X
TaxonomyPhysical Therapy Assistant
License Number06000846A
License Number StateIN

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: