Individual
KEVIN ORELLANA
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
17902 GEORGIA AVE STE 100, OLNEY, MD 20832-2280
(301) 774-1789
(301) 774-1394
Mailing address
17902 GEORGIA AVE STE 220, OLNEY, MD 20832-2279
(240) 774-0222
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5719
MD
Other
Enumeration date
08/23/2022
Last updated
08/23/2022
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