Individual
MADISON CAMARIE MAXEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
PTA
Contact information
Practice address
205 S CHURCH ST STE B, MIDDLETOWN, MD 21769-8144
(301) 371-8121
Mailing address
11277 DUBLIN RD, WOODSBORO, MD 21798-9004
(240) 385-4652
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
A5439
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
A5439
MARYLAND DEPARTMENT OF HEALTH
MD
Enumeration date
07/27/2021
Last updated
07/27/2021
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