Individual
MRS. KELLY ANN WAKEFIELD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
1 KAYLOR CIR, FROSTBURG, MD 21532-2009
(301) 689-7446
Mailing address
517 SHERRY RD, BEDFORD, PA 15522-4629
(814) 847-9392
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3106
MD
Other
Enumeration date
01/31/2013
Last updated
01/31/2013
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