Individual
KENNY WU
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
2634 BRANDERMILL BLVD, GAMBRILLS, MD 21054-1651
(410) 721-7201
Mailing address
8705 ROSS ST, BOWIE, MD 20720-4442
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
—
—
Other
Enumeration date
07/21/2023
Last updated
07/21/2023
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