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NPI Code Detail

MEDICARE: MRS. SHARON DIANE COURTLEY P.T.

MEDICARE:  MRS. SHARON DIANE COURTLEY  P.T.
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
12251X0800XOrthopedic Physical Therapist5501003116MI

General Provider Information

NPI Number : 1194849745
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARON DIANE COURTLEY P.T.
Provider Business Mailing Address
First Line : 578 OAKBRIDGE DR
Second Line :
City : ROCHESTER
State : MI
Zip : 48306-4634
Country : US
Telephone Number : 248-601-3546
Fax Number : 248-964-0220
Provider Business Practice Location Address
First Line : 44300 DEQUINDRE RD
Second Line : EAST CAMPUS - PT
City : STERLING HEIGHTS
State : MI
Zip : 48314-1003
Country : US
Telephone Number : 248-964-0211
Fax Number : 248-964-0220
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/19/2007
Last Update Date : 07/08/2007

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Directions to “ MRS. SHARON DIANE COURTLEY P.T.” Practice Location

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