Individual
KELLY RIDGE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PHYSICAL THERAPY
Contact information
Practice address
1009 KINDER FARM PARK RD, MILLERSVILLE, MD 21108-1706
(240) 925-2788
Mailing address
155 SALLITT DR, STEVENSVILLE, MD 21666-2279
(410) 604-2162
(410) 604-2975
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27854
MD
Other
Enumeration date
02/10/2020
Last updated
10/28/2022
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