Individual
MATTHEW ALEXANDER GALVIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
1217 W FAYETTE ST, BALTIMORE, MD 21223-1938
(410) 727-3947
Mailing address
4422 FIELDGREEN RD, NOTTINGHAM, MD 21236-1815
(410) 790-8586
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
A01963
MD
Other
Enumeration date
07/22/2014
Last updated
07/22/2014
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