Individual
JANE ELLEN KLINK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
84 THOMAS JOHNSON CT, SUITE B, FREDERICK, MD 21702-4348
(301) 662-8541
(301) 662-8762
Mailing address
2608 MARKER RD, MIDDLETOWN, MD 21769-8302
(301) 371-8464
(301) 662-8762
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16978
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
3116439
MAMSI MSS
MD
01
—
334552
PHCS
MD
01
—
531555-05
CAREFIRST MD FSS
MD
01
—
531555-06
CAREFIRST MSS
MD
01
—
551810
MAMSI FSS
MD
01
—
K134-0007
CAP FED BC MSS
MD
01
—
R559-0010
CAP FED BC FSS
MD
Enumeration date
01/13/2006
Last updated
07/08/2007
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