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: |