Sharon Jo Grady is a Specialist in Costa Mesa, California. Sharon Jo Grady practices all healthcare services and medical treatments related to Specialist. The NPI Number for Sharon Jo Grady is 1770795155. The last update date is 2007-07-08.
Sharon Jo Grady's current location address is 1107 Charleston St, Costa Mesa, California. You can contact this provider via phone number 7145573172. The mailing address for Sharon Jo Grady is 1107 Charleston St, Costa Mesa, California. To know further, please read the information below!
Provider Profile Detail
| Provider Name | Sharon Jo Grady |
|---|---|
| Address | 1107 Charleston St, Costa Mesa, California |
| Phone Number | 7145573172 |
| Fax Number | |
| Sole Proprietor | N |
| Credentials | PT, MS, PC |
NPI Number Detail
| NPI Number | 1770795155 |
|---|---|
| Provider Enumeration Date | 2007-05-05 |
| Last Updated Date | 2007-07-08 |
Provider Mailing Address Detail
| Address | 1107 Charleston St |
|---|---|
| City | Costa Mesa |
| State | California (CA) |
| Post Code | 926262706 |
| Phone Number | 7145573172 |
| Fax Number |
Provider's Primary Taxonomy Detail
| Speciality | Specialist |
|---|---|
| Taxonomy | 174400000X |
| Licence No | PT1222 |
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Definition: An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |
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Provider's Other Legacy Identifiers
| Identifier | Identifier Type | Identifier State | Identifier Issuer |
|---|---|---|---|
| PT1222 | CA | PHYSICAL THERAPY LICENSE |
Post Comment/ Review Below
What is the Sharon Jo Grady's unique identification number?
The Sharon Jo Grady has been assigned the NPI (National Provider Identifier) Number 1770795155 by the Centers for Medicare & Medicaid Services (CMS). This 10-digit code serves as a unique identifier for the organization.
Could you share the physical location details of Sharon Jo Grady?
The Sharon Jo Grady is situated at 1107 Charleston St, in the city of Costa Mesa, state of CA, with the zip code 926262706.
What is the Sharon Jo Grady's area of specialization and corresponding taxonomy classification?
The Sharon Jo Grady's specialty field is Specialist, and it falls under the taxonomy code 174400000X, which categorizes healthcare providers based on their specialties.
On what date did the Centers for Medicare & Medicaid Services assign the 1770795155 to Sharon Jo Grady?
The Centers for Medicare & Medicaid Services assigned the 1770795155 to Sharon Jo Grady on 2007-05-05.
When was the information regarding Sharon Jo Grady, such as address, specialty, and other details, most recently verified or confirmed to be accurate?
The information pertaining to Sharon Jo Grady, including its address, specialty, and other relevant details, was most recently verified or confirmed to be accurate on 2007-07-08.