Individual
MS. DONNA DURYEA KLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
P.T.
Contact information
Practice address
13301 KATRINKA DR, BOWIE, MD 20720-4734
(301) 464-2568
(301) 262-1056
Mailing address
13301 KATRINKA DR, BOWIE, MD 20720-4734
(301) 464-2568
(301) 262-1056
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
14680
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
2462860
AETNA
MD
01
—
4460475
AETNA
MD
01
—
A691DD
CAREFIRST BCBS MD
MD
01
—
S958
CAREFIRST BCBS
MD
Enumeration date
05/06/2007
Last updated
07/08/2007
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