Individual
JONATHAN RYAN KRETSCH
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
DPT
Contact information
Practice address
7939 HONEYGO BLVD STE 131, BALTIMORE, MD 21236-5905
(410) 931-2738
(410) 931-2739
Mailing address
3455 HIGHWAY 81 SOUTH, LOGANVILLE, GA 30052-3918
(770) 554-0665
(770) 554-0685
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
26776
MD
Other
Enumeration date
11/14/2017
Last updated
11/14/2017
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