Individual
KEVIN DIMARCO
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
12409 NEEDLE DR, CLARKSBURG, MD 20871-9208
(301) 807-7368
Mailing address
12409 NEEDLE DR, CLARKSBURG, MD 20871-9208
(301) 807-7368
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4478
MD
Other
Enumeration date
02/09/2017
Last updated
02/09/2017
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