Individual
LAURA MICHELLE KIVLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
1035 PULASKI HWY # 107A, HAVRE DE GRACE, MD 21078-2603
(438) 431-0034
Mailing address
1035 PULASKI HWY # 107A, HAVRE DE GRACE, MD 21078-2603
(438) 431-0034
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
24223
MD
225100000X
Physical Therapist
PT021353
PA
Other
Enumeration date
06/24/2011
Last updated
02/24/2023
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