Most Relevant Information
Provider Data
| NPI Number: | 1003636945 |
| Provider Name: | MICHELLE KAMINSKI VAZIRI DPT |
| Entity Type: | Individual |
| Taxonomy Code: | 225100000X |
| Specialty: | Physical Therapist |
| License Number: | 23369 |
Most Important Dates
| Enumeration Date: | 10/15/2024 |
| Last Updated: | 10/17/2024 |
Provider Practice Location
350 MONTEVUE LANE
FREDERICK
MD
21702
Practice Location Phone/Fax
| Phone: | 2404468853 |
| Fax: |
Provider Mailing Location
350 MONTEVUE LANE
FREDERICK
MD
21702
Provider Mailing Phone/Fax
| Phone: | 2404468853 |
| Fax: |