MACK KENNETH WINGREEN

FREDERICK, MD
NPI1770167546
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: MD  A4884)
Enumeration Date2021-05-07
Last Update Date2021-05-07
Business Address
MACK KENNETH WINGREEN
7407 WILLOW RD
FREDERICK, MD 21702-2500
Phone number: 301-644-5600
Mailing Address
MACK KENNETH WINGREEN
6617 HIGH BEACH CT E
NEW MARKET, MD 21774-6852
Phone number: 410-530-3361
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