TARA MADDOX

PHILADELPHIA, PA
NPI1043774219
Entity TypeIndividual
GenderFemale
Sole Proprietor ?Yes
Primary Taxonomy2255A2300X Specialist/Technologist, Athletic Trainer
Enumeration Date2019-01-22
Last Update Date2019-01-22
Business Address
TARA MADDOX
8201 HENRY AVE APT K1
PHILADELPHIA, PA 19128-2220
Phone number: 215-696-0888
Mailing Address
TARA MADDOX
119 MILBOB DR
WARMINSTER, PA 18974-1668
Phone number: 215-696-0888