Individual
LISA SPEAKMAN SHELTON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
32 WINDWARD DR, SUITE 110, FISHERSVILLE, VA 22939-2174
(540) 949-5383
(540) 949-5493
Mailing address
32 WINDWARD DR, SUITE 110, FISHERSVILLE, VA 22939-2174
(540) 949-5383
(540) 949-5493
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
2305005713
VA
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2305005713
LICENSE#
VA
Enumeration date
01/11/2007
Last updated
04/29/2010
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