Individual
BEVERLY KORNIDES
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
86 THOMAS JOHNSON CT, FREDERICK, MD 21702-4348
(301) 694-8311
(301) 694-2714
Mailing address
86 THOMAS JOHNSON CT, FREDERICK, MD 21702-4348
(301) 694-8311
(301) 694-2714
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
15730
MD
Other
Enumeration date
08/20/2006
Last updated
06/14/2020
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