Individual
LISA SCHAFER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1804 BURGUNDY DR, FALLSTON, MD 21047-2112
(443) 831-5301
Mailing address
1804 BURGUNDY DR, FALLSTON, MD 21047-2112
(443) 831-5301
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
9013
CA
Other
Enumeration date
04/26/2012
Last updated
04/26/2012
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