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1194595066
TYLER MADDOCK
TROY, MI
NPI
1194595066
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Entity Type
Individual
Gender
Male
Sole Proprietor ?
No
Primary Taxonomy
225100000X Physical Therapist
(Licence: MI 5502008520)
Enumeration Date
2024-01-03
Last Update Date
2024-01-03
Business Address
TYLER MADDOCK PTA
3144 JOHN R RD STE 200
TROY, MI 48083-5936
Phone number: 248-743-0850
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Mailing Address
TYLER MADDOCK PTA
1773 STAR BATT DR
ROCHESTER HILLS, MI 48309-3708
Phone number: 248-601-9207
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