Individual
MARK HARRISON SHEPHERD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
10700 CHARTER DR STE 205, COLUMBIA, MD 21044-3687
(443) 546-1575
Mailing address
6201 GREENLEIGH AVE, MIDDLE RIVER, MD 21220-2004
(703) 527-9557
(703) 526-0438
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
2305206532
VA
2251X0800X
Orthopedic Physical Therapist
Primary
23450
MD
Other
Enumeration date
07/13/2010
Last updated
02/17/2025
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