Individual
KRISTINA R STANICH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT, DPT, SCS, LAT
Contact information
Practice address
162 WOODSIDE TRL, ANNAPOLIS, MD 21401-7229
(405) 414-8203
Mailing address
162 WOODSIDE TRL, ANNAPOLIS, MD 21401-7229
(405) 414-8203
Taxonomy
Speciality
Code
Description
License number
State
2251S0007X
Sports Physical Therapist
1209096
TX
2251S0007X
Sports Physical Therapist
Primary
29394
MD
Other
Enumeration date
06/25/2014
Last updated
07/23/2023
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