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NPI Code Detail

MEDICARE: MRS. SHARON H BELL PTA

MEDICARE: MRS. SHARON H BELL PTA
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
1225200000XPhysical Therapy Assistant1345SC
2225200000XPhysical Therapy AssistantPTA001433GA

General Provider Information

NPI Number : 1558454850
Entity Type Code : Individual
Provider Name (Legal Business Name) : MRS. SHARON H BELL PTA
Provider Business Mailing Address
First Line : PO BOX 86
Second Line :
City : MONTMORENCI
State : SC
Zip : 29839-0086
Country : US
Telephone Number : 803-648-2051
Fax Number :
Provider Business Practice Location Address
First Line : 350 AUSTIN GRAYBILL RD
Second Line :
City : NORTH AUGUSTA
State : SC
Zip : 29860-9251
Country : US
Telephone Number : 803-278-4272
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 10/02/2006
Last Update Date : 07/08/2007

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