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Individual

MS. QUINTINA DENISE MADDEN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
50 WELLESLEY DR APT 416, NEWPORT NEWS, VA 23606-4050
(757) 223-5474
(757) 223-5474
Mailing address
50 WELLESLEY DR APT 416, NEWPORT NEWS, VA 23606-4050
(757) 930-1075

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131001179
VA

Other

Enumeration date
08/11/2017
Last updated
08/11/2017
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