Individual provider · Type 1 NPI
Ketki Ajit Raktavan, MPT
Orthopedic Physical Therapist · Glenn Dale, MD
Practice location
12200 Annapolis Rd Ste 119
Glenn Dale, MD 20769-9182
Fax (301) 805-5004
Mailing address
790 Remington Blvd
Bolingbrook, IL 60440-4909
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Orthopedic Physical Therapist Primary | 2251X0800X | 27954 (MD) |
Orthopedic Physical Therapist: A licensed physical therapist, including but not limited to an individual who is a Board Certified Specialist in Orthopaedic Physical Therapy, who has demonstrated specialized knowledge and skill in human anatomy and physiology, movement science; pathology/pathophysiology, pain science, medical and surgical considerations, orthopaedic physical therapy theory and practice, and critical inquiry for evidence-based prac…
2 other providers at this address
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About NPI 1992303820
Ketki Ajit Raktavan, MPT's National Provider Identifier is 1992303820, issued on Oct 13, 2020. The primary taxonomy on file is Orthopedic Physical Therapist (2251X0800X), and the practice location is in Glenn Dale, MD. The record was last updated on Jun 25, 2024.