Individual
KATHLEEN THERESA DECK
Active
Sole proprietor
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
7533 WILL ST, FORT MEADE, MD 20755-1049
(443) 534-3269
Mailing address
7533 WILL STREET, FORT MEADE, MD 20755
(410) 897-0120
(410) 897-9399
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
21172
MD
Other
Enumeration date
04/11/2006
Last updated
07/08/2007
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