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1376844613
JASON WILLIAM KNICLEY
FREDERICK, MD
NPI
1376844613
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MD 23476)
Enumeration Date
2010-11-03
Last Update Date
2021-07-12
Business Address
JASON WILLIAM KNICLEY DPT
3540 SUGARLOAF PKWY STE D03
FREDERICK, MD 21704-7901
Phone number: 240-341-2198
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Mailing Address
JASON WILLIAM KNICLEY DPT
10938 LOUIS DETRICK LN
MONROVIA, MD 21770-6030
Phone number: 301-992-6797
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