# KIDNETIC PHYSICAL THERAPY - LLC

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

## Provider details

- **NPI number:** 1134870116
- **Authorized official:** GABRIELLA DEJULIIS (OWNER)
- **Authorized official phone:** (410) 627-1325

## Contact information

- **Practice address:** 2227 OLD EMMORTON RD STE 121, BEL AIR, MD 21015-6190
- **Practice address phone:** (443) 752-4711
- **Mailing address:** 8238 PHILADELPHIA RD, BALTIMORE, MD 21237-2833

## Taxonomy

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

## Other

- **Enumeration date:** 01/12/2022
- **Last updated:** 04/18/2023