Individual
MR. ELIZABETH MICHELE SHABAZZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4409 E WEST HWY, RIVERDALE, MD 20737-1058
(301) 699-2000
(301) 209-2976
Mailing address
15608 HEXHAM TER, UPPER MARLBORO, MD 20774-8024
(301) 985-3222
(301) 209-2976
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15841
MD
Other
Enumeration date
06/13/2007
Last updated
07/08/2007
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