Most Relevant Information
Provider Data
| NPI Number: | 1003535196 |
| Provider Name: | KEVIN ORELLANA PTA |
| Entity Type: | Individual |
| Taxonomy Code: | 225200000X |
| Specialty: | Physical Therapy Assistant |
| License Number: | A5719 |
Most Important Dates
| Enumeration Date: | 08/23/2022 |
| Last Updated: | 08/23/2022 |
Provider Practice Location
17902 GEORGIA AVE STE 100
OLNEY
MD
208322280
Practice Location Phone/Fax
| Phone: | 3017741789 |
| Fax: | 3017741394 |
Provider Mailing Location
17902 GEORGIA AVE STE 220
OLNEY
MD
208322279
Provider Mailing Phone/Fax
| Phone: | 2407740222 |
| Fax: |