Individual
MRS. DIANA SHAFFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
201 BOOTH ST, ELKTON, MD 21921-5618
(410) 996-5450
Mailing address
110 RIDGE RD, ELKTON, MD 21921-2062
(443) 350-0653
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
14669
MD
Other
Enumeration date
12/07/2018
Last updated
12/07/2018
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