Sharon L Ford, PTA

NPI #1063761369 in Ham Lake, Minnesota

Provider Information

NPI Number: 1063761369
Entity Type: Individual
Name: Sharon L Ford, PTA
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Aug 31, 2012
Last Updated: Aug 31, 2012

Practice Location

Address: 17232 VANBUREN ST NE
City: Ham Lake
State: Minnesota
ZIP Code: 55304-4166
Phone: (763) 742-5489

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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