Individual
OLIVIA MADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
L.AC.
Contact information
Practice address
84 SWEENEY ST STE 1, NORTH TONAWANDA, NY 14120-5822
(716) 694-2225
Mailing address
82 WASHINGTON ST, NORTH TONAWANDA, NY 14120-6544
(315) 879-7416
Taxonomy
Speciality
Code
Description
License number
State
171100000X
Acupuncturist
Primary
006810
NY
Other
Enumeration date
11/03/2020
Last updated
08/26/2021
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