Doctor Name: | MARTIN JOHN MCFADDEN |
NPI Number: | 1508165549 |
Entity Type Code: | Individual (1) |
Gender: | M |
Credentials: | CTRS |
License Number: | 53078 |
Business Practice Address: | Building 14h Va Maryland Health Care System Recreation Therapy Service Pp/117/rt Perry Point, MD - 21902 |
Business Phone Number: | 4106422411 |
Business Fax Number: | |
Mailing Address: | Building 14h Va Maryland Health Care System, Recreation Therapy Service Pp/117/rt PERRY POINT |
State: | MD |
Postal Code: | 21902 |
Phone Number: | 4106422411 |
Fax Number: | |
NPI Enumeration Date: | 03/16/2011 |
NPI Last Update Date: | 03/22/2011 |
Replacement NPI: | 0 |
NPI Deactivation Date: | |
NPI Reactivation Date: |
Taxonomy Information: | |
Healthcare Provider Taxonomy: | 225800000X |
License Number: | 53078 |
Healthcare Provider Taxonomy: (Secondary) | Y |
State: | MD |
Taxonomy Type: | Respiratory, Developmental, Rehabilitative and Restorative Service Providers |
Taxonomy Classification: | Recreation Therapist |
Taxonomy Specialization: | |
Taxonomy Definition: | A recreation therapist uses recreational activities for intervention in some physical, social or emotional behavior to bring about a desired change in that behavior and promote the growth and development of the patient. |