Individual
MADELYN LEIGH CAVANAUGH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
AT
Contact information
Practice address
4501 N CHARLES ST, BALTIMORE, MD 21210-2601
(240) 315-6955
Mailing address
109 S WASHINGTON ST APT 1, BALTIMORE, MD 21231-2159
(317) 764-0011
Taxonomy
Speciality
Code
Description
License number
State
2255A2300X
Athletic Trainer
1285
OK
2255A2300X
Athletic Trainer
Primary
A0001546
MD
2255A2300X
Athletic Trainer
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
11/14/2019
Last updated
06/02/2023
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