Individual
JENNIFER BARNES-MADDOX
Active
Individual
JENNIFER BARNES-MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Taxonomy
Speciality
Code
Description
License number
State
2251P0200X
Pediatric Physical Therapist
Primary
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
1497884969
—
VA
Enumeration date
08/23/2019
Last updated
08/23/2019
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