Theresa Ann Shark, P.T.

NPI #1376979591 in Ripon, California

Provider Information

NPI Number: 1376979591
Entity Type: Individual
Name: Theresa Ann Shark, P.T.
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Sep 19, 2013
Last Updated: Sep 19, 2013

Practice Location

Address: 103 E MAIN ST
City: Ripon
State: California
ZIP Code: 95366-2416
Phone: (209) 599-7073

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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