MICHAEL MONTGOMERY MADDOX

LOUISVILLE, KY
NPI1497403224
Entity TypeIndividual
GenderMale
Sole Proprietor ?No
Primary Taxonomy224Z00000X Occupational Therapy Assistant
(Licence: KY  A5753)
Enumeration Date2022-03-10
Last Update Date2022-03-10
Business Address
MICHAEL MONTGOMERY MADDOX
11901 SHELBYVILLE RD
LOUISVILLE, KY 40243-1040
Phone number: 502-245-3774
Mailing Address
MICHAEL MONTGOMERY MADDOX
14705 HEDGEWICK WAY
LOUISVILLE, KY 40245-8454
Phone number: 502-396-1440
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