Provider Demographics
NPI:1104880285
Name:ALSTON, MARGARET LYNN (PT, PHD)
Entity type:Individual
Prefix:
First Name:MARGARET
Middle Name:LYNN
Last Name:ALSTON
Suffix:
Gender:F
Credentials:PT, PHD
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:1715 WOODHOME DR
Mailing Address - Street 2:KINGS CHARTER
Mailing Address - City:BEL AIR
Mailing Address - State:MD
Mailing Address - Zip Code:21015-6279
Mailing Address - Country:US
Mailing Address - Phone:410-908-8719
Mailing Address - Fax:410-420-1541
Practice Address - Street 1:2021B EMMORTON RD
Practice Address - Street 2:SUITE 118
Practice Address - City:BEL AIR
Practice Address - State:MD
Practice Address - Zip Code:21015-8980
Practice Address - Country:US
Practice Address - Phone:410-515-9017
Practice Address - Fax:410-515-9016
Is Sole Proprietor?:No
Enumeration Date:2006-04-14
Last Update Date:2008-02-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MD15448225100000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225100000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersPhysical Therapist