Individual
MADISON DOMINICA HENDRICKS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
980 WOODSTOCK PKWY STE 200, WOODSTOCK, GA 30188-4871
(678) 445-9799
Mailing address
583 SUMMIT PT, CANTON, GA 30114-5860
Taxonomy
Speciality
Code
Description
License number
State
2251X0800X
Orthopedic Physical Therapist
Primary
PT017619
GA
Other
Enumeration date
02/27/2025
Last updated
02/27/2025
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