MR. Craig Edward Maddox

NPI #1154616407 in Rutland, Vermont

Provider Information

NPI Number: 1154616407
Entity Type: Individual
Name: MR. Craig Edward Maddox
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Enumeration Date: Jun 15, 2011
Last Updated: Jun 15, 2011

Practice Location

Address: 46 NICHOLS ST
City: Rutland
State: Vermont
ZIP Code: 05701-3275
Phone: (802) 775-2941

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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