Mack Kenneth Wingreen
Mack Kenneth Wingreen is a Physical Therapy Assistant in Frederick, Maryland. Licensed in Maryland. Registered with an NPI since 2021.
- Licensed in
- MD
- In the registry since
- 2021
Practice location Address checks out
7407 Willow RdFrederick, MD 21702-2500
Phone: (301) 644-5600
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Physical Therapy Assistant (primary) | Taxonomy 225200000X · Licence A4884 (MD) |
|---|
Record details
| NPI number | 1770167546 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | May 7, 2021 |
| Last updated in NPPES | May 7, 2021 |
| Certification date | May 7, 2021 |
| Mailing address | 6617 High Beach Ct E, New Market, MD 21774-6852 |
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Alicia Gwen Sweeney
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-
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Carrie Lyn Timme, PTA
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