Individual
MRS. MARIA LYN SHIELDS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
1503 WASHINGTON LN, AUGUSTA, KS 67010-1638
(316) 775-0700
(316) 775-0730
Mailing address
1503 WASHINGTON LN, AUGUSTA, KS 67010-1638
(316) 775-0700
(316) 775-0730
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
11-04272
KS
Other
Enumeration date
07/08/2011
Last updated
07/08/2011
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