Individual
KEVIN MITCHELL O'DONNOGHUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
2564 RIVA RD, ANNAPOLIS, MD 21401-7405
(210) 266-6626
Mailing address
2564 RIVA RD, ANNAPOLIS, MD 21401-7405
(410) 266-6626
(410) 266-3026
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28740
MD
Other
Enumeration date
11/04/2021
Last updated
09/17/2024
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