Provider Demographics
NPI:1902046683
Name:BRAUD-AUGUSTE, SHARON D (OTR/L)
Entity Type:Individual
Prefix:
First Name:SHARON
Middle Name:D
Last Name:BRAUD-AUGUSTE
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:SHARON
Other - Middle Name:D
Other - Last Name:BRAUD
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:OTR/L
Mailing Address - Street 1:2222 SULLIVAN TRL
Mailing Address - Street 2:
Mailing Address - City:EASTON
Mailing Address - State:PA
Mailing Address - Zip Code:18040-7958
Mailing Address - Country:US
Mailing Address - Phone:800-944-9782
Mailing Address - Fax:610-438-2024
Practice Address - Street 1:4201 SPRINGTREE DR
Practice Address - Street 2:
Practice Address - City:SUNRISE
Practice Address - State:FL
Practice Address - Zip Code:33351-6163
Practice Address - Country:US
Practice Address - Phone:954-572-4261
Practice Address - Fax:954-572-2603
Is Sole Proprietor?:No
Enumeration Date:2009-02-20
Last Update Date:2009-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLOT7708225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist