NPI 1013218056

Kelly Marie Queen, PTA

Practitioner Physical Therapy Assistant Kensington, MD

Practice location

Address: 10410 Kensington Pkwy, Kensington, MD 20895-2943
Phone: (301) 929-3624
Mailing address: 3640 Denison St, Frederick, MD 21704-7002

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence A1988 (MD)

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Registry record

NPI: 1013218056
Entity type: Individual
Sex (as registered): Female
NPI issued: 8 Nov 2010
Record last updated: 8 Nov 2010

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.