Individual
MARCY KINZIE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
4111 OLD BRIDGE LN, JEFFERSON, MD 21755-7313
(301) 473-4699
Mailing address
4111 OLD BRIDGE LN, JEFFERSON, MD 21755-7313
(301) 473-4699
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16700
MD
Other
Enumeration date
06/24/2007
Last updated
07/08/2007
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