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Individual

KENNETH J HEIL JR.

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
DPT

Contact information

Practice address
1401F PULASKI HIGHWAY, EDGEWOOD, MD 21040
(443) 372-5300
(443) 372-5810
Mailing address
3455 HIGHWAY 81 SOUTH, LOGANVILLE, GA 30052-3918
(770) 554-0665
(770) 554-0685

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26851
MD
225100000X
Physical Therapist
PT026258
PA

Other

Enumeration date
08/02/2017
Last updated
07/21/2022
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