Sharon Pack, P.T.

NPI #1932388857 in Fayetteville, West Virginia

Provider Information

NPI Number: 1932388857
Entity Type: Individual
Name: Sharon Pack, P.T.
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Physical Therapist
Credential: P.T.
Enumeration Date: Oct 26, 2007
Last Updated: Oct 26, 2007

Practice Location

Address: 111 FAYETTE AVE
City: Fayetteville
State: West Virginia
ZIP Code: 25840-1219
Phone: (304) 574-1176

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapist	225100000X	Primary

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