Basic Information
| Provider Information | |||||||||
| NPI: | 1033694740 | ||||||||
| EntityType: | 1 | ||||||||
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| OrganizationName: | |||||||||
| LastName: | DROWN | ||||||||
| FirstName: | SHARON | ||||||||
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| Credential: | PTA | ||||||||
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| Mailing Information | |||||||||
| Address1: | 9300 S 1000 W | ||||||||
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| City: | ANDERSON | ||||||||
| State: | IN | ||||||||
| PostalCode: | 46017 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 7656022909 | ||||||||
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| Practice Location | |||||||||
| Address1: | 3114 E 46TH ST | ||||||||
| Address2: | |||||||||
| City: | INDIANAPOLIS | ||||||||
| State: | IN | ||||||||
| PostalCode: | 462052413 | ||||||||
| CountryCode: | US | ||||||||
| TelephoneNumber: | 3179207888 | ||||||||
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| Other Information | |||||||||
| ProviderEnumerationDate: | 09/27/2018 | ||||||||
| LastUpdateDate: | 09/27/2018 | ||||||||
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| ProviderGenderCode: | F | ||||||||
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| IsSoleProprietor: | N | ||||||||
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Taxonomy Information
| Taxonomy | License | State | Switch | TaxonomyGroup | TaxonomyType | TaxonomyClass | SubSpecialty | 225200000X | 06005104A | IN | Y | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | Physical Therapy Assistant |
No ID Information.