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1972736536
ELVIA KACHENCHAI
FREDERICK, MD
NPI
1972736536
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: MD A3362)
Enumeration Date
2009-08-31
Last Update Date
2009-08-31
Business Address
MRS. ELVIA KACHENCHAI PTA A3362
6441 JEFFERSON PIKE
FREDERICK, MD 21703-7039
Phone number: 301-620-0236
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Mailing Address
MRS. ELVIA KACHENCHAI PTA A3362
2222 W GREENLEAF DR
FREDERICK, MD 21702-2625
Phone number: 240-575-9305
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