Individual
DAVID A MARRIOTT JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PT
Contact information
Practice address
450 HAWKRIDGE LN, SYKESVILLE, MD 21784-7652
(443) 603-6362
Mailing address
450 HAWKRIDGE LN, SYKESVILLE, MD 21784-7652
(443) 603-6362
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
20769
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
61777101
MD-COMMERCIAL NUMBER
—
Enumeration date
04/03/2007
Last updated
03/29/2018
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