Individual
MADISON ALLEN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
1639 BRADLEY PARK DR STE C-2, COLUMBUS, GA 31904-3620
(706) 322-9311
Mailing address
6397 LEE HWY, CHATTANOOGA, TN 37421-2564
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
CP010823T
GA
225100000X
Physical Therapist
PT018507
OH
225100000X
Physical Therapist
PTH10993
AL
Other
Enumeration date
02/24/2020
Last updated
08/12/2022
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