Individual
SHENNAH BARBARA CAPERTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.P.T.
Contact information
Practice address
1705 DESALES ST NW FL 6, WASHINGTON, DC 20036-4405
(202) 630-0378
(855) 350-5613
Mailing address
1705 DESALES ST NW FL 6, WASHINGTON, DC 20036-4405
(202) 630-0378
(855) 350-5613
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
PT 21841
FL
225100000X
Physical Therapist
PT008197
GA
225100000X
Physical Therapist
Primary
PT871834
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
022705000
—
FL
01
—
GH621Z
MEDICARE PTAN
FL
Enumeration date
09/15/2006
Last updated
12/21/2015
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