Individual
KATHLEEN THEODORE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MPT
Contact information
Practice address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
(202) 745-8000
Mailing address
50 IRVING ST NW, WASHINGTON, DC 20422-0001
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
22200
MD
225100000X
Physical Therapist
2305205265
VA
225100000X
Physical Therapist
Primary
PT870781
DC
Other
Enumeration date
02/18/2008
Last updated
05/28/2008
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