Individual
KELLI STEWART-JOHNSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
8926 WOODYARD RD, 701, CLINTON, MD 20735-4220
(301) 856-1682
Mailing address
1129 KENNEBEC ST, APT 2E, OXON HILL, MD 20745-3342
(301) 466-1350
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
2306602643
VA
225200000X
Physical Therapy Assistant
Primary
A3843
MD
Other
Enumeration date
11/13/2013
Last updated
11/14/2013
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