Doctor Name: | JOHN MICHAEL KITCHEN |
NPI Number: | 1023190758 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | PT |
License Number: | 21497 |
Business Practice Address: | 20528 Boland Farm Rd Suite 111 Germantown, MD - 208764021 |
Business Phone Number: | 3015288096 |
Business Fax Number: | 3015288083 |
Mailing Address: | 20528 Boland Farm Rd, Suite 111 GERMANTOWN |
State: | MD |
Postal Code: | 208764021 |
Phone Number: | 3015288096 |
Fax Number: | 3015288083 |
NPI Enumeration Date: | 10/20/2006 |
NPI Last Update Date: | 02/25/2009 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 21497 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | (1) Physical therapists are health care professionals who evaluate and treat people with health problems resulting from injury or disease. PT |