Individual
MARTIN JOHN MCFADDEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
CTRS
Contact information
Practice address
BUILDING 14H VA MARYLAND HEALTH CARE SYSTEM, RECREATION THERAPY SERVICE PP/117/RT, PERRY POINT, MD 21902
(410) 642-2411
Mailing address
BUILDING 14H VA MARYLAND HEALTH CARE SYSTEM, RECREATION THERAPY SERVICE PP/117/RT, PERRY POINT, MD 21902
(410) 642-2411
Taxonomy
Speciality
Code
Description
License number
State
225800000X
Recreation Therapist
Primary
53078
MD
Other
Enumeration date
03/16/2011
Last updated
03/22/2011
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