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NPI Code Detail

MEDICARE: SHARON HASEMANN P.T., DPT

MEDICARE: SHARON HASEMANN P.T., DPT
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 Therapist

General Provider Information

NPI Number : 1184969016
Entity Type Code : Individual
Provider Name (Legal Business Name) : SHARON HASEMANN P.T., DPT
Provider Business Mailing Address
First Line : 608 FAIRLANE CT
Second Line :
City : HURST
State : TX
Zip : 76054-2801
Country : US
Telephone Number : 817-846-7774
Fax Number :
Provider Business Practice Location Address
First Line : 6521 N ANDREWS AVE
Second Line :
City : FORT LAUDERDALE
State : FL
Zip : 33309-2131
Country : US
Telephone Number : 954-941-6301
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 12/04/2012
Last Update Date : 01/21/2013

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