Individual
KEVIN DOLAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT
Contact information
Practice address
828 MUDDY BRANCH RD # 14, GAITHERSBURG, MD 20878-2780
(301) 685-1311
Mailing address
1720 MERIDIAN DR, HAGERSTOWN, MD 21742-1235
(301) 401-6947
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28359
MD
Other
Enumeration date
03/11/2021
Last updated
03/11/2021
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