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Individual

DENISE M KELLOGG

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
PTA

Contact information

Practice address
1423 DUAL HWY, SUITE 16F, HAGERSTOWN, MD 21740-6515
(301) 665-1616
(800) 593-1410
Mailing address
51 AMANDA DR, SMITHSBURG, MD 21783-1573
(301) 824-1135

Taxonomy

Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2325
MD

Other

Enumeration date
02/11/2015
Last updated
02/11/2015
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