Individual ProviderShellie K DelucaPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPractice Address16 Fusting Ave, Baltimore, MD 21228-4413(410) 747-1800(410) 429-4445PECOS EnrollmentBased on the most recent information from CMS, provider Shellie K Deluca does not have current enrollment records in PECOS.Part BMedicare Part BNot EnrolledHHAHome Health AgencyNot EnrolledDMEDurable Medical EquipmentNot EnrolledPMDPower Mobility DeviceNot EnrolledCMS last updated its PECOS records 2 days ago.Profile DetailsProvider ID1649390931Provider TypeIndividualFull NameDeluca, Shellie KTitleMrs.CredentialPTGenderFemaleSole ProprietorNoEnumeration Date3/30/2007Last Updated7/8/2007Contact InformationPractice LocationPractice Address16 Fusting Ave, Baltimore, MD 21228-4413Phone(410) 747-1800FaxUnlisted FaxMailing LocationMailing Address5501 Weywood Dr, Reisterstown, MD 21136-4531Phone(410) 429-4445FaxUnlisted FaxProvider TaxonomiesCodeDescriptionLicenseCode225100000XPrimaryDescriptionPhysical TherapistRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersLicense17812Maryland