Provider Demographics
NPI:1689763229
Name:KILROY, PATRICIA ELLEN (DPT)
Entity Type:Individual
Prefix:
First Name:PATRICIA
Middle Name:ELLEN
Last Name:KILROY
Suffix:
Gender:F
Credentials:DPT
Other - Prefix:
Other - First Name:TRISH
Other - Middle Name:
Other - Last Name:KILROY
Other - Suffix:
Other - Last Name Type:Other Name
Other - Credentials:DPT
Mailing Address - Street 1:8870 WILLOWWOOD WAY
Mailing Address - Street 2:
Mailing Address - City:JESSUP
Mailing Address - State:MD
Mailing Address - Zip Code:20794-8926
Mailing Address - Country:US
Mailing Address - Phone:301-774-0624
Mailing Address - Fax:301-774-4545
Practice Address - Street 1:3414 OLANDWOOD CT
Practice Address - Street 2:
Practice Address - City:OLNEY
Practice Address - State:MD
Practice Address - Zip Code:20832-1384
Practice Address - Country:US
Practice Address - Phone:301-774-0624
Practice Address - Fax:301-774-4545
Is Sole Proprietor?:No
Enumeration Date:2006-10-12
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2251X0800XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical TherapistOrthopedic