Provider Demographics
NPI:1588786990
Name:HOLESH, SHARON NAYLOR (PT)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:NAYLOR
Last Name:HOLESH
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:3361 CRAMLINGTON DR
Mailing Address - Street 2:
Mailing Address - City:GIBSONIA
Mailing Address - State:PA
Mailing Address - Zip Code:15044-8249
Mailing Address - Country:US
Mailing Address - Phone:724-443-4672
Mailing Address - Fax:
Practice Address - Street 1:5360 SALTSBURG RD
Practice Address - Street 2:
Practice Address - City:VERONA
Practice Address - State:PA
Practice Address - Zip Code:15147-3033
Practice Address - Country:US
Practice Address - Phone:412-798-5370
Practice Address - Fax:412-798-5516
Is Sole Proprietor?:No
Enumeration Date:2007-04-04
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT003931L225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist