Individual
KYLE LEE ATWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
PT, DPT, OMPT, CMTPT
Contact information
Practice address
406 DUCKBILL LN, ANNAPOLIS, MD 21409-5489
(301) 661-3645
Mailing address
406 DUCKBILL LN, ANNAPOLIS, MD 21409-5489
(301) 661-3645
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24583
MD
Other
Enumeration date
08/12/2013
Last updated
12/30/2015
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