Provider Demographics
NPI:1427126366
Name:LAMB, SHARON B (PT, SCS, ATC)
Entity type:Individual
Prefix:MS
First Name:SHARON
Middle Name:B
Last Name:LAMB
Suffix:
Gender:F
Credentials:PT, SCS, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:245 NORTH ST
Mailing Address - Street 2:
Mailing Address - City:STONEHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02180-2109
Mailing Address - Country:US
Mailing Address - Phone:781-438-7221
Mailing Address - Fax:781-438-7208
Practice Address - Street 1:245 NORTH STREET
Practice Address - Street 2:
Practice Address - City:STONEHAM
Practice Address - State:MA
Practice Address - Zip Code:02180
Practice Address - Country:US
Practice Address - Phone:781-438-7221
Practice Address - Fax:781-438-7208
Is Sole Proprietor?:No
Enumeration Date:2006-11-30
Last Update Date:2016-08-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA5699225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA470210OtherTUFTS
MAY66236OtherBLUE CROSS BLUE SHIELD
MA616931OtherHARVARD PILGRAM HEALTH
MA043087537OtherPRIVATE
MAY66236OtherBLUE CROSS BLUE SHIELD