Provider Demographics
NPI:1063555712
Name:KRANTZ, KARL BRENDON (PT)
Entity type:Individual
Prefix:MR
First Name:KARL
Middle Name:BRENDON
Last Name:KRANTZ
Suffix:
Gender:M
Credentials:PT
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Mailing Address - Street 1:21 CROSSROADS DR
Mailing Address - Street 2:STE 330
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-5482
Mailing Address - Country:US
Mailing Address - Phone:240-575-9260
Mailing Address - Fax:240-575-9380
Practice Address - Street 1:801 TOLL HOUSE AVE
Practice Address - Street 2:STE H3
Practice Address - City:FREDERICK
Practice Address - State:MD
Practice Address - Zip Code:21701-4564
Practice Address - Country:US
Practice Address - Phone:240-575-9260
Practice Address - Fax:240-575-9380
Is Sole Proprietor?:No
Enumeration Date:2007-02-14
Last Update Date:2019-08-02
Deactivation Date:
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Provider Licenses
StateLicense IDTaxonomies
MD19899225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist