NPI 1003535196

Kevin Orellana, PTA

Practitioner Physical Therapy Assistant Olney, MD

Practice location

Address: 17902 Georgia Ave STE 100, Olney, MD 20832-2280
Phone: (301) 774-1789
Fax: (301) 774-1394
Mailing address: 17902 Georgia Ave STE 220, Olney, MD 20832-2279

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A5719 (MD)

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Registry record

NPI: 1003535196
Entity type: Individual
Sex (as registered): Male
NPI issued: 23 Aug 2022
Record last updated: 23 Aug 2022

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.