| NPI | 1982131066 |
|---|---|
| Former Name | MORGAN LEE MADDOX |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: KS 11-05628) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: MO 2017030848) |
| Enumeration Date | 2017-05-19 |
| Last Update Date | 2020-04-15 |