Individual
LORI ANN KETLER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT
Contact information
Practice address
100 WHITE MARSH PARK DR, BOWIE, MD 20715-4361
(301) 262-5852
(301) 262-3173
Mailing address
PO BOX 4058, CROFTON, MD 21114-4058
(301) 498-2212
(301) 498-2213
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16676
MD
Other
Enumeration date
02/06/2008
Last updated
10/04/2022
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