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Individual
JOSEPH JACKSON MADDEN
Active
Individual
JOSEPH JACKSON MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
DO
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
5994
MS
390200000X
Student in an Organized Health Care Education/Training Program
Primary
—
NULL
Other
Enumeration date
03/01/2017
Last updated
04/18/2024
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