Individual
GABRIEL SHELTON CORDER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
710 S ANN ST FL 2, BALTIMORE, MD 21231-3401
(410) 989-3833
Mailing address
3307 TIMBERFIELD LN, BALTIMORE, MD 21208-4425
(410) 989-3833
(410) 946-1920
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26509
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
26509
PT LICENSE
MD
Enumeration date
06/05/2017
Last updated
02/20/2023
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