Individual
JEFFREY EADES MAUPIN
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
P. T.
Contact information
Practice address
18 MONTGOMERY DR, STE 10, NORTH EAST, MD 21901-3817
(410) 287-5057
Mailing address
86 NE ISLES DR, NORTH EAST, MD 21901-3107
(443) 674-8155
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
22136
MD
Other
Enumeration date
02/05/2007
Last updated
07/08/2007
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