Individual
DR. PAMELA GAIL SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
12779 TURBERVILLE LN, HERNDON, VA 20171
(571) 308-8252
(571) 250-6305
Mailing address
12779 TURBERVILLE LN, HERNDON, VA 20171-2216
(937) 672-1054
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
2305209578
VA
2251X0800X
Orthopedic Physical Therapist
PT008971L
PA
2251X0800X
Orthopedic Physical Therapist
PT871933
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
111408402
—
TX
Enumeration date
04/11/2007
Last updated
08/25/2023
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