Provider Demographics
NPI:1699514257
Name:BRANAND, SHARON (PTA)
Entity type:Individual
Prefix:MRS
First Name:SHARON
Middle Name:
Last Name:BRANAND
Suffix:
Gender:F
Credentials:PTA
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:271 POOCHAM RD
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTERFIELD
Mailing Address - State:NH
Mailing Address - Zip Code:03466-3407
Mailing Address - Country:US
Mailing Address - Phone:603-903-4871
Mailing Address - Fax:
Practice Address - Street 1:271 POOCHAM RD
Practice Address - Street 2:
Practice Address - City:WEST CHESTERFIELD
Practice Address - State:NH
Practice Address - Zip Code:03466-3407
Practice Address - Country:US
Practice Address - Phone:603-903-4871
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2024-05-23
Last Update Date:2024-05-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH1201225200000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225200000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapy Assistant