Individual
CAROLYN MITCHELL SHUPERT
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2434 W. BELVEDERE, BALTIMORE, MD 21215
(410) 601-2256
Mailing address
18813 FOX CHASE CT., PARKTON, MD 21120-9062
(410) 343-0141
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16729
MD
Other
Enumeration date
05/02/2007
Last updated
07/08/2007
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