Healthcare Provider Details

I. General information

NPI: 1457436768
Provider Name (Legal Business Name): SHARAN D. ZIRGES PT, MSHA, CWS
Entity Type: Individual
Gender: Female
Sole Proprietor: N

II. Dates (important events)

Enumeration Date: 10/26/2006
Last Update Date: 07/08/2007
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3005 CORPORATE LN SUITE 200
SUFFOLK VA
23434-9274
US

IV. Provider business mailing address

2205 OAK ST
VIRGINIA BEACH VA
23451-1311
US

V. Phone/Fax

Practice location:
  • Phone: 757-923-3207
  • Fax: 757-923-3208
Mailing address:
  • Phone: 757-965-5842
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code225100000X
TaxonomyPhysical Therapist
License Number2305002975
License Number StateVA

VIII. Authorized Official

Name:
Title or Position:
Credential:
Phone: