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1902919194
ERIC JASON SHAIVITZ
BALTIMORE, MD
NPI
1902919194
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MD A1947)
Enumeration Date
2006-08-15
Last Update Date
2007-07-08
Business Address
Mr. ERIC JASON SHAIVITZ PTA
117 ORVILLE RD
BALTIMORE, MD 21221
Phone number: 410-686-2270
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Mailing Address
Mr. ERIC JASON SHAIVITZ PTA
117 ORVILLE RD
BALTIMORE, MD 21221
Phone number: 410-686-2270
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