Individual
MS. JOAN MARIE MADDOCK
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
2540 HUMES RD, DEAN MEDICAL CENTER, JANESVILLE, WI 53548
(608) 373-2500
Mailing address
2540 HUMES RD, DEAN MEDICAL CENTER, JANESVILLE, WI 53548
(608) 373-2500
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1190-026
WI
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
5444
DEAN HEALTH SYSTEMS, INC
WI
Enumeration date
03/20/2009
Last updated
11/20/2009
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