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Individual

KEVIN WRENN

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
D.P.T.

Contact information

Practice address
3179 BRAVERTON ST, SUITE 201, EDGEWATER, MD 21037-2665
(410) 956-4308
Mailing address
3179 BRAVERTON ST, STE 201, EDGEWATER, MD 21037-2667
(410) 695-1325

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19681
MD

Other

Enumeration date
11/13/2006
Last updated
06/17/2016
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