Individual
KAVON ISABELLE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PTA
Contact information
Practice address
13319 DOVEDALE WAY APT I, GERMANTOWN, MD 20874-4454
(240) 426-4034
Mailing address
13319 DOVEDALE WAY APT I, GERMANTOWN, MD 20874-4454
(240) 426-4034
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
6222
MD
Other
Enumeration date
08/03/2026
Last updated
08/03/2026
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