Sharon Kimberley Kelton Durrance
Individual provider Active NPI Physical Therapy Assistant · Oxford, FL
NPI 1265059539 · NPPES record last updated Jul 2, 2020
Key facts
- NPI
- 1265059539
- Entity type
- Individual (NPI type 1)
- Primary specialty
- Physical Therapy Assistant 225200000X
- License
- PTA23146 (FL)
- Practice address
- 12029 County Road 103
Oxford, FL 34484-2938 - Phone
- (352) 571-5979
- NPI assigned
- Jul 2, 2020
- Sex
- Female
- Sole proprietor
- No
Medicare participation
- Medicare fee-for-service enrollment
- Not listed in the public Medicare enrollment file
National Provider Directory
- Medicare enrollment (NPD)
- No
State licenses
| License | State | Type | Specialty |
|---|---|---|---|
| PTA23146 | FL | MD | Physical Therapy Assistant |
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Physical Therapy Assistant | 225200000X | PTA23146 | FL | Yes |
Addresses
Primary practice location
12029 County Road 103
Oxford, FL 34484-2938
Mailing address
311 Woods Landing Dr
Lady Lake, FL 32159-4307
Phone (352) 484-8251
Other providers in Oxford, FL
- Carlos Farah Johary
- Glenn C Jones
- Ieshia L Jones
- Kim Jones
- Saumilkumar S. Karavadia
- Katherine Elizabeth Kennedy
- Clinton Kincannon
- La Plus Family Investment 2
- Kristen Ashley Leblanc
- Rania Livada
All providers in Oxford, FL · Physical Therapy Assistant in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jul 2, 2020. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.