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Individual

KENNETH ANDREW HAAG

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
PT, DPT

Contact information

Practice address
12 NEWPORT DR STE A, FOREST HILL, MD 21050-1758
(410) 838-9600
(410) 838-2511
Mailing address
PO BOX 179, FOREST HILL, MD 21050-0179
(410) 838-9600
(410) 838-2511

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28209
MD

Other

Enumeration date
03/02/2021
Last updated
08/18/2022
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