Individual
KELVIN BROCKINGTON
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
4114 E CAPITOL ST NE, WASHINGTON, DC 20019-3349
(202) 320-8106
Mailing address
4114 E CAPITOL ST NE, WASHINGTON, DC 20019-3349
(202) 320-8106
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
000099
DC
Other
Enumeration date
02/04/2015
Last updated
02/04/2015
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