Individual
GARY SHORT
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
11204 RACETRACK RD STE 101, BERLIN, MD 21811-3370
(410) 208-1525
(410) 208-1527
Mailing address
11204 RACETRACK RD STE 101, BERLIN, MD 21811-3370
(410) 208-1525
(410) 208-1527
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19703
MD
Other
Enumeration date
11/05/2025
Last updated
11/05/2025
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