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Individual
TENAY DANIELLE MADDOX
Active
Individual
TENAY DANIELLE MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
36577
CA
Other
Enumeration date
03/16/2010
Last updated
09/30/2019
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