Individual
MR. WILLIAM SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
7401 OSLER DR, SUITE 110, TOWSON, MD 21204-7673
(410) 296-8888
Mailing address
402 SUNNY VIEW RD, BEL AIR, MD 21014-5578
(410) 993-0109
Taxonomy
Speciality
Code
Description
License number
State
2251G0304X
Geriatric Physical Therapist
Primary
20512
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
621815-01
BC BS
MD
Enumeration date
02/13/2007
Last updated
07/08/2007
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