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1144354952
KENNETH J CRIVELLI
BALTIMORE, MD
NPI
1144354952
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 14734)
Enumeration Date
2007-03-15
Last Update Date
2007-07-08
Business Address
-- KENNETH J CRIVELLI P.T.
3104 LORD BALTIMORE DR
BALTIMORE, MD 21244-2898
Phone number: 410-298-0990
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Mailing Address
-- KENNETH J CRIVELLI P.T.
10364 TUSCANY RD
ELLICOTT CITY, MD 21042-2154
Phone number: 410-465-2241
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