Individual
MARLENE MAYMAN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T., C.M.T.
Contact information
Practice address
129 W PATRICK ST STE 4, FREDERICK, MD 21701-5682
(240) 487-9387
Mailing address
466 WILLOWDALE DR, SHEPHERDSTOWN, WV 25443-4058
(304) 283-7131
Taxonomy
Speciality
Code
Description
License number
State
172M00000X
Mechanotherapist
0019006932
VA
172M00000X
Mechanotherapist
2013-3105
WV
172M00000X
Mechanotherapist
Primary
M05146
MD
Other
Enumeration date
09/11/2014
Last updated
04/16/2018
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