Provider Demographics
NPI:1114340296
Name:SHARGA, ANN
Entity type:Individual
Prefix:
First Name:ANN
Middle Name:
Last Name:SHARGA
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:460 LONGACRE DR
Mailing Address - Street 2:
Mailing Address - City:CHERRYVILLE
Mailing Address - State:PA
Mailing Address - Zip Code:18035-9713
Mailing Address - Country:US
Mailing Address - Phone:610-295-8917
Mailing Address - Fax:
Practice Address - Street 1:2301 CHERRY LN
Practice Address - Street 2:
Practice Address - City:BETHLEHEM
Practice Address - State:PA
Practice Address - Zip Code:18015-9540
Practice Address - Country:US
Practice Address - Phone:484-526-5025
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2014-01-27
Last Update Date:2024-05-10
Deactivation Date:2017-03-08
Deactivation Code:
Reactivation Date:2024-05-10
Provider Licenses
StateLicense IDTaxonomies
PATEI003363225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant