Doctor Name: | MRS. SHARON DENISE POLL |
NPI Number: | 1306013891 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS PT |
License Number: | PT021070 |
Business Practice Address: | 4607 Berwyn Ln Macungie, PA - 180628257 |
Business Phone Number: | 7046086257 |
Business Fax Number: | 7043667455 |
Mailing Address: | 4607 Berwyn Ln, MACUNGIE |
State: | PA |
Postal Code: | 180628257 |
Phone Number: | 7046086257 |
Fax Number: | 6103667455 |
NPI Enumeration Date: | 05/13/2008 |
NPI Last Update Date: | 08/04/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251P0200X |
License Number: | PT021070 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | PA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Pediatrics |
Taxonomy Definition: |