Individual
STEPHANIE SHIMODA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
300 M ST SE UNIT 104, WASHINGTON, DC 20003-3400
(202) 221-8250
(202) 221-8251
Mailing address
21096 SADDLEBACK CIR, PARKER, CO 80138-7143
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
0018563
CO
225100000X
Physical Therapist
2305215540
VA
225100000X
Physical Therapist
302111
CA
225100000X
Physical Therapist
PT03658
RI
225100000X
Physical Therapist
Primary
PT210002350
DC
Other
Enumeration date
05/16/2022
Last updated
08/16/2023
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