Individual
MADELINE BURNS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
3104 LORD BALTIMORE DR, BALTIMORE, MD 21244-2898
(443) 516-9133
Mailing address
1232 PATAPSCO ST, BALTIMORE, MD 21230-4232
(443) 928-6683
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
28258
MD
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
28258
MARYLAND STATE BOARD OF PHYSICAL THERAPY EXAMINERS
MD
Enumeration date
10/05/2022
Last updated
10/05/2022
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