Individual
JONELLE DETLOR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
15201 SHADY GROVE RD, SUITE 106, ROCKVILLE, MD 20850-3217
(301) 948-4395
(301) 840-8972
Mailing address
1016 STIRLING RD, SILVER SPRING, MD 20901-2139
(301) 592-1329
(301) 840-8972
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
19650
MD
Other
Enumeration date
11/09/2006
Last updated
07/08/2007
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