Individual
SANDRA KILLIAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
678 GENESSEE ST, ANNAPOLIS, MD 21401-2342
(410) 991-3126
Mailing address
678 GENESSEE ST, ANNAPOLIS, MD 21401-2342
(410) 991-3126
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3971
MD
Other
Enumeration date
03/20/2015
Last updated
03/20/2015
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