LEONARD THOMAS MADDOX

CHARLESTON, SC
NPI1124168463
Entity TypeIndividual
GenderMale
Sole Proprietor ?Yes
Primary Taxonomy225200000X Physical Therapy Assistant
(Licence: SC  1573)
Enumeration Date2007-02-07
Last Update Date2007-07-08
Business Address
-- LEONARD THOMAS MADDOX PTA
1291 PALM COVE DR
CHARLESTON, SC 29492-8006
Phone number: 843-324-1456
Mailing Address
-- LEONARD THOMAS MADDOX PTA
1291 PALM COVE DR
CHARLESTON, SC 29492-8006
Phone number: 843-324-1456
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