Doctor Name: | MRS. SHARON L TABOR |
NPI Number: | 1083644686 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | CPED/CFO |
License Number: | NONE REQUIRED |
Business Practice Address: | 1414 W Fair Ave Suite 50 Marquette, MI - 498552675 |
Business Phone Number: | 9062257978 |
Business Fax Number: | 9062257707 |
Mailing Address: | 1414 W Fair Ave, Suite 50 MARQUETTE |
State: | MI |
Postal Code: | 498552675 |
Phone Number: | 9062257978 |
Fax Number: | 9062257707 |
NPI Enumeration Date: | 07/03/2006 |
NPI Last Update Date: | 03/17/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225000000X |
License Number: | NONE REQUIRED |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MI |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Orthotic Fitter |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual trained in the management of fitting prefabricated orthoses. |