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Individual

COREY MICHAEL NININGER

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
Man
Credential
PT

Contact information

Practice address
604 SOLAREX CT UNIT 104, FREDERICK, MD 21703-8678
(301) 662-9335
Mailing address
5620 SINGLETREE DR, FREDERICK, MD 21703-1813
(240) 446-1696

Taxonomy

Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
27256
MD

Other

Enumeration date
06/23/2018
Last updated
01/07/2019
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