Individual
MARC CORREA MAGLONZO
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
PHYSICAL THERAPIST
Contact information
Practice address
2530 N CHARLES ST, BALTIMORE, MD 21218-4640
(410) 889-7872
Mailing address
2530 N. CHARLES STREET, BALTIMORE, MD 21218-4640
(410) 889-7872
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
16358
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
128158500
—
MD
Enumeration date
07/23/2008
Last updated
07/23/2008
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