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Shakyra Cephas

Physical Therapist in Laurel, MD. Individual provider (NPI-1).

NPI number1245992148
StatusActive
Last updated in NPPESOct 7, 2021

Details

NPI
1245992148
Entity type
Individual (NPI-1)
Name
Shakyra Cephas
Sex
Female
Sole proprietor
No
Enumeration date
Oct 7, 2021
Certification date
Sep 30, 2021
Last updated
Oct 7, 2021

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
225100000X Physical Therapist––Yes

Practice location

14190a Baltimore Ave
Laurel, MD 20707-5007

Phone 240-542-5924

Mailing address

790 Remington Blvd
Bolingbrook, IL 60440-4909

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