Individual
MRS. KELLY PIAZZA
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MED, LAT, ATC
Contact information
Practice address
17301 OLD VIC BLVD, OLNEY, MD 20832-1603
(240) 283-3242
Mailing address
17301 OLD VIC BLVD, OLNEY, MD 20832-1603
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A00202
MD
Other
Enumeration date
02/08/2017
Last updated
02/08/2017
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