# HEALING AND WELLNESS CENTER OF KENT ISLAND

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

## Provider details

- **NPI number:** 1619279551
- **Authorized official:** DR. KRISTIN MIKELE MOWRY PT, DPT (DOCTOR)
- **Authorized official phone:** (410) 604-0900

## Contact information

- **Practice address:** 711 MAIN ST, STEVENSVILLE, MD 21666-4011
- **Practice address phone:** (410) 604-0900
- **Practice address fax:** (410) 604-0960
- **Mailing address:** 310 LISTMAN CT, SEVERNA PARK, MD 21146-1757
- **Mailing address phone:** (410) 604-0900

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 208100000X | Physical Medicine & Rehabilitation Physician | 21949 | MD | Yes |

## Other

- **Enumeration date:** 11/29/2010
- **Last updated:** 11/29/2010