Adela Ernestina Kellogg Sr., RPT
Physical Therapist in Baltimore, MD. Individual provider (NPI-1).
NPI number1982156667
StatusActive
Last updated in NPPESOct 28, 2016
Details
- NPI
- 1982156667
- Entity type
- Individual (NPI-1)
- Name
- Mrs. Adela Ernestina Kellogg Sr.
- Credential
- RPT
- Sex
- Female
- Sole proprietor
- No
- Enumeration date
- Oct 28, 2016
- Last updated
- Oct 28, 2016
Taxonomy and licenses
| Taxonomy code | Description | License | State | Primary |
|---|---|---|---|---|
| 225100000X | Physical Therapist | 25999 | – | Yes |
Practice location
707 N BroadwayBaltimore, MD 21205-1832
Phone 443-923-1872
Mailing address
2931 E Biddle StBaltimore, MD 21213-3939
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