Individual
KYLE RAAB
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
107 CHESAPEAKE BLVD, SUITE 100, ELKTON, MD 21921-6313
(410) 392-9400
(410) 392-0577
Mailing address
23 BLOUNT RD, NEW CASTLE, DE 19720-3221
(410) 392-9400
(410) 392-0577
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A2592
MD
Other
Enumeration date
01/31/2007
Last updated
07/08/2007
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