MEDICARE: JULIET SHARLEY M.S. OTR/L CHT

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
1	225100000X	Physical Therapist	2986	AZ
2	225X00000X	Occupational Therapist	2986	AZ

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1518088210
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	JULIET SHARLEY M.S. OTR/L CHT

Provider Business Mailing Address
First Line	:	4650 E COTTON CENTER BLVD STE 155
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85040-4803
Country	:	US
Telephone Number	:	602-892-0915
Fax Number	:	602-926-0910

Provider Business Practice Location Address
First Line	:	1355 S HIGLEY RD STE 101
Second Line	:
City	:	GILBERT
State	:	AZ
Zip	:	85296-4799
Country	:	US
Telephone Number	:	480-507-8080
Fax Number	:	480-507-8085

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	04/02/2007
Last Update Date	:	03/17/2018

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