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Mark Madison
Rehabilitation Practitioner in San Diego, California
NPI 1205166014

Mark Madison is a Rehabilitation Practitioner based in San Diego, CA. Mark Madison practices in San Diego, CA. The NPI Number for Mark Madison is 1205166014 and holds a License No. (California).

The current practice location address for Mark Madison is 2535 Kettner Blvd, San Diego, CA and can be reached out via phone at 619-615-0701 and via fax at 619-615-0705.

Location: 2535 Kettner Blvd, San Diego, CA, 92111-4016
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1205166014
Provider Name
Mark Madison
Credential
Provider Entity Type
Individual
Gender
Male
Address
2535 Kettner Blvd, San Diego, CA, 92111-4016
Phone Number
619-615-0701
Fax Number
619-615-0705
Provider Enumeration Date
12/30/2009
Last Update Date
03/09/2024
institution
Provider Business Practice Location Address Details
Address
2535 Kettner Blvd
City
San Diego
State
California
Zip
92101-1250
Phone Number
619-615-0701
Fax Number
619-615-0705
person
Provider Business Mailing Address Details
Address
2535 Kettner Blvd
City
San Diego
State
California
Zip
92101-1250
Phone Number
619-615-0701
Fax Number
619-615-0705
person
Provider's Taxonomy Details 1
Type
Respiratory, Developmental, Rehabilitative and Restorative Service Providers
Classification
Rehabilitation Practitioner
Speciality
-
Taxonomy
225400000X
License No.
()
Definition
A health care practitioner who trains or retrains individuals disabled by disease or injury to help them attain their maximum functional capacity.
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