Provider Demographics
NPI:1457348757
Name:MAGLADRY, AMY ERIN (MED, ATC)
Entity Type:Individual
Prefix:MS
First Name:AMY
Middle Name:ERIN
Last Name:MAGLADRY
Suffix:
Gender:F
Credentials:MED, ATC
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1554 DOXBURY RD
Mailing Address - Street 2:
Mailing Address - City:TOWSON
Mailing Address - State:MD
Mailing Address - Zip Code:21286-5903
Mailing Address - Country:US
Mailing Address - Phone:410-733-0217
Mailing Address - Fax:
Practice Address - Street 1:1212 COWPENS AVE
Practice Address - Street 2:
Practice Address - City:TOWSON
Practice Address - State:MD
Practice Address - Zip Code:21286-1720
Practice Address - Country:US
Practice Address - Phone:410-887-3543
Practice Address - Fax:
Is Sole Proprietor?:Not Answered
Enumeration Date:2005-10-02
Last Update Date:2007-07-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes2255A2300XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersSpecialist/TechnologistAthletic Trainer