Individual
KYLEEN TICE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
2000 MEDICAL PKWY STE 400, ANNAPOLIS, MD 21401-3742
(443) 481-1140
(443) 481-6515
Mailing address
201 DEFENSE HWY, STE 100, ANNAPOLIS, MD 21401-8902
(667) 204-7000
(443) 481-6515
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
16645
MA
225100000X
Physical Therapist
Primary
22230
MD
Other
Enumeration date
11/10/2005
Last updated
01/23/2018
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