MEDICARE: MRS. SHARON ELIZABETH FRENCH OTR, 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	225XH1200X	Hand Occupational Therapist	101653	TX
2	225X00000X	Occupational Therapist	101653	TX

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	752365055	OTHER	TX	EMPLOYER IDENTIFICATION N

General Provider Information

NPI Number	:	1962524777
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MRS. SHARON ELIZABETH FRENCH OTR, CHT

Provider Business Mailing Address
First Line	:	790 REMINGTON BLVD
Second Line	:
City	:	BOLINGBROOK
State	:	IL
Zip	:	60440-4909
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	3201 E PRESIDENT GEORGE BUSH HWY
Second Line	:	103
City	:	RICHARDSON
State	:	TX
Zip	:	75082-3566
Country	:	US
Telephone Number	:	973-470-5005
Fax Number	:	972-470-5009

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

Provider Enumeration Date	:	04/04/2007
Last Update Date	:	07/11/2024

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