Individual
JASON MICHAEL SHIPLEY
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P.T.
Contact information
Practice address
8322 BELLONA AVE, TOWSON, MD 21204-2012
(410) 337-8847
(410) 769-8591
Mailing address
8322 BELLONA AVE, TOWSON, MD 21204-2012
(410) 337-8847
(410) 769-8591
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21920
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21920
PHYSICAL THERAPIST LICENS
MD
Enumeration date
08/18/2006
Last updated
11/13/2013
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