Individual
KYLE MELLINGER
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
1576 MERRITT BLVD STE 7, DUNDALK, MD 21222-2114
(410) 650-2145
Mailing address
1576 MERRITT BLVD STE 7, DUNDALK, MD 21222-2114
(410) 650-2145
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
2305211157
VA
225100000X
Physical Therapist
Primary
26712
MD
225100000X
Physical Therapist
8617
SC
Other
Enumeration date
10/27/2017
Last updated
02/05/2024
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