Doctor Name: | SHARON ANN MEMOLO |
NPI Number: | 1902014582 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MS |
License Number: | 4240 |
Business Practice Address: | 736 Cambridge St Brighton, MA - 021352907 |
Business Phone Number: | 6177893000 |
Business Fax Number: | 6175627115 |
Mailing Address: | 244 Cherry St, WEST NEWTON |
State: | MA |
Postal Code: | 024651605 |
Phone Number: | 6177893000 |
Fax Number: | 6175627115 |
NPI Enumeration Date: | 05/18/2007 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 4240 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MA |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |