Provider Demographics
NPI:1689953002
Name:HERSHER, JOAN ELLEN (PT)
Entity type:Individual
Prefix:
First Name:JOAN
Middle Name:ELLEN
Last Name:HERSHER
Suffix:
Gender:F
Credentials:PT
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1848 REISTERSTOWN RD
Mailing Address - Street 2:
Mailing Address - City:PIKESVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:21208-1379
Mailing Address - Country:US
Mailing Address - Phone:433-360-5527
Mailing Address - Fax:877-353-0384
Practice Address - Street 1:1848 REISTERSTOWN RD
Practice Address - Street 2:
Practice Address - City:PIKESVILLE
Practice Address - State:MD
Practice Address - Zip Code:21208-1379
Practice Address - Country:US
Practice Address - Phone:443-360-5527
Practice Address - Fax:877-353-0384
Is Sole Proprietor?:No
Enumeration Date:2011-08-16
Last Update Date:2024-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD30021225100000X
NYPT 0005974174400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
No174400000XOther Service ProvidersSpecialist