Doctor Name: | CRISTINA RAYNE MADARANG-STOFIK |
NPI Number: | 1033206370 |
Entity Type Code: | Individual (1) |
Gender: | F |
Credentials: | MPT |
License Number: | 20031 |
Business Practice Address: | 28632 Dupont Blvd Unit 7 Millsboro, DE - 199664793 |
Business Phone Number: | 3029340304 |
Business Fax Number: | 3029340306 |
Mailing Address: | 11070 Cathell Rd Ste 4, BERLIN |
State: | MD |
Postal Code: | 218119344 |
Phone Number: | 4102083630 |
Fax Number: | 4102083632 |
NPI Enumeration Date: | 10/06/2006 |
NPI Last Update Date: | 04/03/2015 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 2251X0800X |
License Number: | 20031 |
Healthcare Provider Taxonomy: (Secondary) | N |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Physical Therapist |
Taxonomy Specialization: | Orthopedic |
Taxonomy Definition: |