Individual
MRS. KELLY ANN RUNFOLA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, MS
Contact information
Practice address
1600 CRAIN HWY S, SUITE 302, GLEN BURNIE, MD 21061-5577
(410) 768-1213
(410) 768-1203
Mailing address
2111 FOLKSTONE RD, LUTHERVILLE, MD 21093-3312
(410) 308-3630
(410) 768-1203
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
18280
MD
Other
Enumeration date
10/06/2006
Last updated
07/08/2007
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