Individual
KEDAR ARUN SULE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1600 CRAIN HWY S STE 302, GLEN BURNIE, MD 21061-6445
(410) 768-1213
(410) 768-1203
Mailing address
350 NEW FIDELITY CT, GARNER, NC 27529-2665
(919) 258-2664
(410) 648-4878
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
037675
NY
225100000X
Physical Therapist
Primary
26396
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
K6549860
—
FL
Enumeration date
03/14/2017
Last updated
05/04/2018
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