| Doctor Name: | SHARONDA CAPERS |
| NPI Number: | 1083072821 |
| Entity Type Code: | Individual (1) |
| Gender: | F |
| Credentials: | |
| License Number: | |
| Business Practice Address: | 211 S Harbor Blvd 405 San Pedro, CA - 907312830 |
| Business Phone Number: | 3233460960 |
| Business Fax Number: | |
| Mailing Address: | 211 S Harbor Blvd, 405 SAN PEDRO |
| State: | CA |
| Postal Code: | 907312830 |
| Phone Number: | |
| Fax Number: | |
| NPI Enumeration Date: | 02/08/2016 |
| NPI Last Update Date: | 02/08/2016 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 225CA2400X |
| License Number: | |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | |
| Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
| Taxonomy Classification: | Rehabilitation Counselor |
| Taxonomy Specialization: | Assistive Technology Practitioner |
| Taxonomy Definition: | |