Mark Madison
Mark Madison is a Rehabilitation Practitioner in San Diego, California. Registered with an NPI since 2009.
- In the registry since
- 2009
Practice location Address checks out
2535 Kettner Blvd Ste 1A4San Diego, CA 92101-1250
Phone: (619) 615-0701
Fax: (619) 615-0705
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Specialties & licences
| Rehabilitation Practitioner (primary) | Taxonomy 225400000X |
|---|
Record details
| NPI number | 1205166014 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Male |
| Sole proprietor | No |
| NPI enumerated | December 30, 2009 |
| Last updated in NPPES | April 5, 2023 |
| Certification date | April 5, 2023 |
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