Individual provider · Type 1 NPI

Mark Madison

Rehabilitation Practitioner · San Diego, CA

NPI number 1205166014 Active

Practice location

2535 Kettner Blvd, Suite 1A4
San Diego, CA 92101-1250

Call (619) 615-0701 Map

Fax (619) 615-0705

Mailing address

5650 Mount Ackerly Dr
San Diego, CA 92111-4016

Specialties and licenses

TaxonomyCodeLicense
Rehabilitation Practitioner Primary 225400000XNone listed

Rehabilitation Practitioner: 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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About NPI 1205166014

Mark Madison's National Provider Identifier is 1205166014, issued on Dec 30, 2009. The primary taxonomy on file is Rehabilitation Practitioner (225400000X), and the practice location is in San Diego, CA. The record was last updated on Apr 5, 2023.