Individual
KASEY SHAWVER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
3401 BOSTON ST, BALTIMORE, MD 21224-5049
(410) 522-2177
Mailing address
2510 ORCHARD KNOLL WAY, ODENTON, MD 21113-2506
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5902
MD
Other
Enumeration date
01/18/2024
Last updated
01/18/2024
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