Mrs. Kelly Marie Queen
Physical Therapy Assistant
10410 Kensington Pkwy
Kensington
, Maryland 20895-2943
Mrs. Kelly Marie Queen
Physical Therapy Assistant
10410 Kensington Pkwy
Kensington
, Maryland 20895-2943
(301) 363-8658
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About
Features
Specialties
- Physical Therapy Assistant
Languages spoken
- English
Location
First Address
- Mrs. Kelly Marie Queen
- 3640 Denison St
- Frederick, MD
- Zip : 21704-7002
- Phone : (301) 363-8658
Second Address
- Mrs. Kelly Marie Queen
- 10410 Kensington Pkwy
- Kensington, MD
- Zip : 20895-2943
- Phone : (301) 929-3624
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 225200000X | Physical Therapy Assistant | A1988 | MD |
National Provider Identifier
| NPI | 1013218056 |
|---|---|
| Provider Name | Mrs. Kelly Marie Queen |
| First Address | Frederick, MD 21704-7002 |
| Second Address | Kensington, MD 20895-2943 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 08/11/2010 |
| Last Update Date | 08/11/2010 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.