Individual
MATTHEW BENJAMIN BASS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LAT, ATC
Contact information
Practice address
81 W FREDERICK ST, WALKERSVILLE, MD 21793-8216
(301) 910-1025
Mailing address
141 THOMAS JOHNSON DR STE 180, FREDERICK, MD 21702-4509
(301) 620-7478
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
Primary
A0000886
MD
Other
Enumeration date
01/27/2020
Last updated
01/27/2020
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