Provider Demographics
NPI:1750915195
Name:WINTERS, SHARON HOPE (OTR)
Entity type:Individual
Prefix:
First Name:SHARON
Middle Name:HOPE
Last Name:WINTERS
Suffix:
Gender:F
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:801 E HIBISCUS BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:MELBOURNE
Mailing Address - State:FL
Mailing Address - Zip Code:32901-3252
Mailing Address - Country:US
Mailing Address - Phone:321-802-5655
Mailing Address - Fax:321-802-5656
Practice Address - Street 1:801 E HIBISCUS BLVD STE 1
Practice Address - Street 2:
Practice Address - City:MELBOURNE
Practice Address - State:FL
Practice Address - Zip Code:32901-3252
Practice Address - Country:US
Practice Address - Phone:321-802-5655
Practice Address - Fax:321-802-5656
Is Sole Proprietor?:No
Enumeration Date:2020-02-25
Last Update Date:2020-02-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT20741225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist