Individual
MISS KRISTIN DAWN DURYEA
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4924 CAMPBELL BLVD, SUITE 130A, NOTTINGHAM, MD 21236-5908
(443) 442-2050
Mailing address
951 FELL ST, APT 208, BALTIMORE, MD 21231-3586
(610) 639-9539
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
23024
MD
Other
Enumeration date
08/04/2009
Last updated
08/04/2009
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