Individual
JAN SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
10910 CLARKSVILLE PIKE, ELLICOTT CITY, MD 21042-6106
(410) 313-6600
Mailing address
33 WESTMORELAND ST, WESTMINSTER, MD 21157-4452
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
03287
MD
Other
Enumeration date
02/13/2019
Last updated
02/13/2019
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