Individual
LISA A SHORTER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
M.S. P.T.
Contact information
Practice address
3140 W WARD RD STE 203, DUNKIRK, MD 20754-3047
(410) 286-7205
(410) 286-7206
Mailing address
PO BOX 160, FRIENDSHIP, MD 20758-0160
(301) 860-0237
(301) 860-0076
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20258
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
20258
PHYS. THERAPY LICENSE NO.
MD
Enumeration date
10/15/2005
Last updated
06/28/2021
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