Individual
KENNY SHIH
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
19851 OBSERVATION DR STE 450, GERMANTOWN, MD 20876-4148
(301) 977-3605
Mailing address
2722 DEER RIDGE DR, SILVER SPRING, MD 20904-7100
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A4505
MD
Other
Enumeration date
05/05/2021
Last updated
05/05/2021
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