Doctor Name: | KEVIN WRENN |
NPI Number: | 1043381981 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | D.P.T. |
License Number: | 19681 |
Business Practice Address: | 3179 Braverton St Suite 201 Edgewater, MD - 210372665 |
Business Phone Number: | 4109564308 |
Business Fax Number: | |
Mailing Address: | 2706 Mapleview Ct, ODENTON |
State: | MD |
Postal Code: | 211133411 |
Phone Number: | 4106951325 |
Fax Number: | |
NPI Enumeration Date: | 11/13/2006 |
NPI Last Update Date: | 07/08/2007 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225100000X |
License Number: | 19681 |
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 |