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Individual

KYLE FORCHETTI

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man

Contact information

Practice address
5411 W CEDAR LN STE 105A, BETHESDA, MD 20814-1516
(301) 564-4040
(301) 564-3604
Mailing address
9707 MEDICAL CENTER DR STE 330, ROCKVILLE, MD 20850-6343
(301) 444-4090

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
11708
CT
225100000X
Physical Therapist
Primary
27239
MD

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
1538610902
N/A
CT
Enumeration date
10/20/2016
Last updated
05/17/2019
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