Doctor Name: | BRENDA ELLEN SHAEFFER |
NPI Number: | 1811186299 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | PT,DPT |
License Number: | 17774 |
Business Practice Address: | 2568a Riva Rd Suite 303 Annapolis, MD - 214017445 |
Business Phone Number: | 4102662535 |
Business Fax Number: | 4102803804 |
Mailing Address: | 2568a Riva Rd, Suite 303 ANNAPOLIS |
State: | MD |
Postal Code: | 214017445 |
Phone Number: | 4102662535 |
Fax Number: | 4102803804 |
NPI Enumeration Date: | 10/22/2007 |
NPI Last Update Date: | 10/22/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 174400000X |
License Number: | 17774 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Other Service Providers |
Taxonomy Classification: | Specialist |
Taxonomy Specialization: | |
Taxonomy Definition: | An individual educated and trained in an applied knowledge discipline used in the performance of work at a level requiring knowledge and skills beyond or apart from that provided by a general education or liberal arts degree. |