Individual
MRS. ELVIA KACHENCHAI
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA A3362
Contact information
Practice address
6441 JEFFERSON PIKE, FREDERICK, MD 21703-7039
(301) 620-0236
Mailing address
2222 W GREENLEAF DR, FREDERICK, MD 21702-2625
(240) 575-9305
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A3362
MD
Other
Enumeration date
08/31/2009
Last updated
08/31/2009
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