JASON WILLIAM KNICLEY

FREDERICK, MD
NPI1376844613
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225100000X Physical Therapist
(Licence: MD  23476)
Enumeration Date2010-11-03
Last Update Date2021-07-12
Business Address
JASON WILLIAM KNICLEY DPT
3540 SUGARLOAF PKWY STE D03
FREDERICK, MD 21704-7901
Phone number: 240-341-2198
Mailing Address
JASON WILLIAM KNICLEY DPT
10938 LOUIS DETRICK LN
MONROVIA, MD 21770-6030
Phone number: 301-992-6797