Provider Demographics
NPI:1912964339
Name:NEU, KENDALL B (MPT)
Entity Type:Individual
Prefix:
First Name:KENDALL
Middle Name:B
Last Name:NEU
Suffix:
Gender:M
Credentials:MPT
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Mailing Address - Street 1:998 HOSPITALITY WAY
Mailing Address - Street 2:SUITE 101
Mailing Address - City:ABERDEEN
Mailing Address - State:MD
Mailing Address - Zip Code:21001-1762
Mailing Address - Country:US
Mailing Address - Phone:410-273-9776
Mailing Address - Fax:410-273-9777
Practice Address - Street 1:998 HOSPITALITY WAY
Practice Address - Street 2:SUITE 101
Practice Address - City:ABERDEEN
Practice Address - State:MD
Practice Address - Zip Code:21001-1762
Practice Address - Country:US
Practice Address - Phone:410-273-9776
Practice Address - Fax:410-273-9777
Is Sole Proprietor?:No
Enumeration Date:2006-04-28
Last Update Date:2013-07-01
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Provider Licenses
StateLicense IDTaxonomies
MD21370225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist
Provider Identifiers
StateIdentifier IDID TypeIssuer
MDPT21370Medicare Oscar/Certification