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1689144230
TABATHA LEE MADDOX
AIKEN, SC
NPI
1689144230
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: SC 3035)
Enumeration Date
2018-11-27
Last Update Date
2018-11-27
Business Address
TABATHA LEE MADDOX OTR/L
550 EAST GATE DR
AIKEN, SC 29803
Phone number: 803-643-3694
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Mailing Address
TABATHA LEE MADDOX OTR/L
550 EAST GATE DR
AIKEN, SC 29803
Phone number: 803-617-8432
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