Individual
DR. MARIAH A. KELLOGG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
1324 ROSS CLARK CIR, DOTHAN, AL 36301-4117
(334) 769-2003
(334) 769-2004
Mailing address
1324 ROSS CLARK CIR, DOTHAN, AL 36301-4117
(334) 769-2003
(334) 769-2004
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
162927
AK
225100000X
Physical Therapist
Primary
PTH11653
AL
Other
Enumeration date
06/19/2020
Last updated
01/24/2024
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