Individual
MR. ERIC JASON SHAIVITZ
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
117 ORVILLE RD, BALTIMORE, MD 21221
(410) 686-2270
(410) 686-5447
Mailing address
117 ORVILLE RD, BALTIMORE, MD 21221
(410) 686-2270
(410) 686-5447
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A1947
MD
Other
Enumeration date
08/15/2006
Last updated
07/08/2007
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