Individual
MRS. KATHLEEN DEERY SUFFREDINI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MA, PT
Contact information
Practice address
932 HUNGERFORD DR, STE 35A, ROCKVILLE, MD 20850-1753
(301) 340-6413
(301) 340-0669
Mailing address
6 RICE CT, ROCKVILLE, MD 20850-1149
(301) 340-9269
Taxonomy
Speciality
Code
Description
License number
State
174400000X
Specialist
Primary
15701
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
983700100
—
MD
Enumeration date
08/03/2006
Last updated
05/19/2017
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