Jeff Maddox, PT
NPI #1487723946 in Vicksburg, Mississippi
Provider Information
- NPI Number
- 1487723946
- Entity Type
- Individual
- Name
- Jeff Maddox, PT
- Gender
- Not Specified
- Sole Proprietor
- No
- Primary Specialty
- Physical Therapist
- Credential
- PT
- Enumeration Date
- Nov 7, 2006
- Last Updated
- Jul 8, 2007
Practice Location
- Address
- 1901 MISSION 66
- Address 2
- SUITE A
- City
- Vicksburg
- State
- Mississippi
- ZIP Code
- 39180-3711
- Phone
- (601) 638-4076
Specialties & Taxonomy Codes
| Specialty |
|---|
| Physical Therapist |
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