Provider Demographics
NPI:1285754804
Name:PAPE, SHARON B (MS-OT)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:B
Last Name:PAPE
Suffix:
Gender:F
Credentials:MS-OT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:904 RAMBLIN RD
Mailing Address - Street 2:
Mailing Address - City:GREENWOOD
Mailing Address - State:IN
Mailing Address - Zip Code:46142-8356
Mailing Address - Country:US
Mailing Address - Phone:317-654-1418
Mailing Address - Fax:
Practice Address - Street 1:904 RAMBLIN RD
Practice Address - Street 2:
Practice Address - City:GREENWOOD
Practice Address - State:IN
Practice Address - Zip Code:46142-8356
Practice Address - Country:US
Practice Address - Phone:317-654-1418
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2007-03-29
Last Update Date:2007-07-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IN31001562A225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist