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1124168463
LEONARD THOMAS MADDOX
CHARLESTON, SC
NPI
1124168463
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
Yes
Primary Taxonomy
225200000X Physical Therapy Assistant
(Licence: SC 1573)
Enumeration Date
2007-02-07
Last Update Date
2007-07-08
Business Address
-- LEONARD THOMAS MADDOX PTA
1291 PALM COVE DR
CHARLESTON, SC 29492-8006
Phone number: 843-324-1456
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Mailing Address
-- LEONARD THOMAS MADDOX PTA
1291 PALM COVE DR
CHARLESTON, SC 29492-8006
Phone number: 843-324-1456
Copy
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