# KINETIC PHYSICAL THERAPY, INC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1114978376
- **Authorized official:** MR. STEPHEN JOSEPH SODERO MSPT (PHYSICAL THERAPIST, MSPT)
- **Authorized official phone:** (410) 573-9930

## Contact information

- **Practice address:** 132 HOLIDAY CT, SUITE 203, ANNAPOLIS, MD 21401-7005
- **Practice address phone:** (410) 573-9930
- **Practice address fax:** (410) 573-9932
- **Mailing address:** 132 HOLIDAY CT, SUITE 203, ANNAPOLIS, MD 21401-7005
- **Mailing address phone:** (410) 573-9930
- **Mailing address fax:** (410) 573-9932

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 261QP2000X | Physical Therapy Clinic/Center | 20542 | MD | Yes |

## Other

- **Enumeration date:** 05/13/2006
- **Last updated:** 12/07/2010