Individual
JAY R SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
19851 OBSERVATION DR STE 450, GERMANTOWN, MD 20876-4148
(301) 977-6777
(301) 977-0108
Mailing address
19851 OBSERVATION DR STE 450, GERMANTOWN, MD 20876-4148
(301) 977-6777
(301) 977-0108
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
17223
MD
2251X0800X
Orthopedic Physical Therapist
17223
MD
Other
Enumeration date
10/12/2006
Last updated
02/28/2024
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