Individual
KELLY SHORT
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
301 SAINT PAUL ST, BALTIMORE, MD 21202-2102
(410) 659-2933
Mailing address
5914 LINTHICUM LN, LINTHICUM HEIGHTS, MD 21090-2019
(410) 850-5164
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15509
MD
Other
Enumeration date
03/23/2007
Last updated
07/08/2007
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