Individual
MS. MARTHA W MADDOX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.M.T.
Contact information
Practice address
8824 SEMINOLE BLVD, SEMINOLE, FL 33772-3848
(727) 392-9642
Mailing address
8617 PINETREE DR W, SEMINOLE, FL 33772-3340
(727) 392-7002
Taxonomy
Speciality
Code
Description
License number
State
225700000X
Massage Therapist
Primary
MA37290
FL
Other
Enumeration date
03/22/2007
Last updated
07/08/2007
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