Provider Demographics
NPI:1194896050
Name:SHARMA, ARUN (OTR)
Entity type:Individual
Prefix:MR
First Name:ARUN
Middle Name:
Last Name:SHARMA
Suffix:
Gender:M
Credentials:OTR
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:14466 PINEWOOD DR
Mailing Address - Street 2:
Mailing Address - City:ORLAND PARK
Mailing Address - State:IL
Mailing Address - Zip Code:60467-7112
Mailing Address - Country:US
Mailing Address - Phone:708-364-0518
Mailing Address - Fax:
Practice Address - Street 1:14466 PINEWOOD DR
Practice Address - Street 2:
Practice Address - City:ORLAND PARK
Practice Address - State:IL
Practice Address - Zip Code:60467-7112
Practice Address - Country:US
Practice Address - Phone:708-364-0518
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2006-11-13
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
1021100586225XH1200X
IL225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Not Answered225XH1200XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational TherapistHand
Not Answered225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist