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1104140490
TENAY DANIELLE MADDOX
SANTA ANA, CA
NPI
1104140490
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: CA 36577)
Enumeration Date
2010-03-16
Last Update Date
2019-09-30
Business Address
TENAY DANIELLE MADDOX DPT
2101 E 4TH ST
SANTA ANA, CA 92705-3814
Phone number: 714-558-3977
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Mailing Address
TENAY DANIELLE MADDOX DPT
6218 ARCHWAY
IRVINE, CA 92618-8835
Phone number: 562-841-2032
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