Individual
MR. WALTER H D MADDOX
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
LPTA
Contact information
Practice address
3131 TOM AUSTIN HWY, INTELLIGENT THERAPY STAFFING, INC., SPRINGFIELD, TN 37172
(615) 382-7979
Mailing address
113 SPRING ST, GREENEVILLE, TN 37743-6012
(423) 470-4293
Taxonomy
Speciality
Code
Description
License number
State
225200000X
Physical Therapy Assistant
Primary
5715
TN
Other
Enumeration date
07/17/2014
Last updated
07/17/2014
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