Provider Demographics
NPI:1104050418
Name:O'HAVER, SHARON JOY (OTR)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:JOY
Last Name:O'HAVER
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 1:11863 STONEY BAY CIRCLE
Mailing Address - Street 2:
Mailing Address - City:CARMEL
Mailing Address - State:IN
Mailing Address - Zip Code:46033
Mailing Address - Country:US
Mailing Address - Phone:317-844-1397
Mailing Address - Fax:317-581-1606
Practice Address - Street 1:11863 STONEY BAY CIRCLE
Practice Address - Street 2:
Practice Address - City:CARMEL
Practice Address - State:IN
Practice Address - Zip Code:46033
Practice Address - Country:US
Practice Address - Phone:317-844-1397
Practice Address - Fax:317-581-1606
Is Sole Proprietor?:No
Enumeration Date:2009-05-14
Last Update Date:2009-05-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31000686A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist