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Individual

MS. KATHRYN ANN SHAFFER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
ATC, DPT

Contact information

Practice address
600 N WOLFE ST, OSLER 160, BALTIMORE, MD 21287-0005
(410) 955-6214
Mailing address
106 BUTTONWOOD CT, BALTIMORE, MD 21237-3873
(540) 323-1681

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22495
MD
225100000X
Physical Therapist
7717
TN
2255A2300X
Athletic Trainer
1090
TN

Other

Enumeration date
11/28/2006
Last updated
11/06/2008
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