Kerry Staples, PTA

NPI #1801631072 in Fort Meade, Maryland

Provider Information

NPI Number: 1801631072
Entity Type: Individual
Name: Kerry Staples, PTA
Gender: Not Specified
Sole Proprietor: No
Primary Specialty: Physical Therapy Assistant
Credential: PTA
Enumeration Date: Jun 28, 2024
Last Updated: Jun 28, 2024

Practice Location

Address: 2480 LLEWELLYN AVE
City: Fort Meade
State: Maryland
ZIP Code: 20755-7081
Phone: (301) 677-8280

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Physical Therapy Assistant	225200000X	Primary

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