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NPI Code Detail

MEDICARE: PAMELA SHAFFER P.T.

MEDICARE: PAMELA SHAFFER P.T.
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225100000XPhysical Therapist16688MD

General Provider Information

NPI Number : 1679691596
Entity Type Code : Individual
Provider Name (Legal Business Name) : PAMELA SHAFFER P.T.
Provider Business Mailing Address
First Line : 1611 NEW WINDSOR CT
Second Line :
City : CROFTON
State : MD
Zip : 21114-1713
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 35 MILKSHAKE LN
Second Line :
City : ANNAPOLIS
State : MD
Zip : 21403-1507
Country : US
Telephone Number : 410-269-5100
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 03/27/2007
Last Update Date : 07/08/2007

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Directions to “ PAMELA SHAFFER P.T.” Practice Location

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