Individual
MICHAEL SHORTER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPY AID
Contact information
Practice address
16635 DYNES CT, CLEVELAND, OH 44128-3323
(216) 242-7674
Mailing address
16635 DYNES CT, CLEVELAND, OH 44128-3323
(216) 242-7674
Taxonomy
Speciality
Code
Description
License number
State
171W00000X
Contractor
Primary
—
—
Other
Enumeration date
01/25/2016
Last updated
01/25/2016
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