Provider Demographics
NPI:1629063490
Name:MCFARLAND, CRAIG LEE (PT)
Entity Type:Individual
Prefix:MR
First Name:CRAIG
Middle Name:LEE
Last Name:MCFARLAND
Suffix:
Gender:M
Credentials:PT
Other - Prefix:
Other - First Name:
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Other - Credentials:
Mailing Address - Street 1:4701 RANDOLPH RD
Mailing Address - Street 2:SUITE 208
Mailing Address - City:ROCKVILLE
Mailing Address - State:MD
Mailing Address - Zip Code:20852-2257
Mailing Address - Country:US
Mailing Address - Phone:240-221-0020
Mailing Address - Fax:240-221-0023
Practice Address - Street 1:4701 RANDOLPH RD
Practice Address - Street 2:SUITE 208
Practice Address - City:ROCKVILLE
Practice Address - State:MD
Practice Address - Zip Code:20852-2257
Practice Address - Country:US
Practice Address - Phone:240-221-0020
Practice Address - Fax:240-221-0023
Is Sole Proprietor?:No
Enumeration Date:2005-09-16
Last Update Date:2007-12-11
Deactivation Date:
Deactivation Code:
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Provider Licenses
StateLicense IDTaxonomies
MD16276208100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes208100000XAllopathic & Osteopathic PhysiciansPhysical Medicine & Rehabilitation
Provider Identifiers
StateIdentifier IDID TypeIssuer
709ML372Medicare ID - Type Unspecified