Individual
HOLLY KREISLE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
3 BETHESDA METRO CTR, SUITE B-001, BETHESDA, MD 20814-5330
(301) 986-9252
Mailing address
5454 WISCONSIN AVE, SUITE 1555, CHEVY CHASE, MD 20815
(301) 951-8593
(301) 951-8598
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
21196
MD
225100000X
Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
21196
LICENSE #
MD
Enumeration date
08/30/2006
Last updated
12/11/2008
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