Provider Demographics
NPI:1174086540
Name:SHARPE WELLNESS & THERAPY LLC
Entity type:Organization
Organization Name:SHARPE WELLNESS & THERAPY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:SARITA
Authorized Official - Middle Name:
Authorized Official - Last Name:SHARPE
Authorized Official - Suffix:
Authorized Official - Credentials:MSPT
Authorized Official - Phone:646-519-0472
Mailing Address - Street 1:707 CYPRESS DR
Mailing Address - Street 2:
Mailing Address - City:EAST STROUDSBURG
Mailing Address - State:PA
Mailing Address - Zip Code:18302-6657
Mailing Address - Country:US
Mailing Address - Phone:646-519-0472
Mailing Address - Fax:
Practice Address - Street 1:528 SEVEN BRIDGE RD UNIT 101A
Practice Address - Street 2:
Practice Address - City:EAST STROUDSBURG
Practice Address - State:PA
Practice Address - Zip Code:18301-7621
Practice Address - Country:US
Practice Address - Phone:646-519-0472
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-04-11
Last Update Date:2019-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QP2000XAmbulatory Health Care FacilitiesClinic/CenterPhysical Therapy