Organization
K CONWAY PHYSICAL THERAPY, INC.
Active
Other names
Physical Therapy
Organization subpart
No
Provider details
NPI number
Authorized official
KIRK CONWAY PT (OWNER)
(410) 610-4926
Entity
Organization
Contact information
Practice address
110 MAIN STREET, PRINCE FREDERICK, MD 20678
(410) 610-4926
Mailing address
110 MAIN STREET, PRINCE FREDERICK, MD 20678
(410) 610-4926
Taxonomy
Speciality
Code
Description
License number
State
261QP2000X
Physical Therapy Clinic/Center
Primary
17145
MD
Other
Enumeration date
06/18/2007
Last updated
10/21/2008
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