Individual
MADELINE GRAY MAZOUE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
DPT, PT
Contact information
Practice address
8 HOSPITAL CENTER BLVD STE 250, HILTON HEAD ISLAND, SC 29926-8702
(843) 671-7342
(843) 671-7343
Mailing address
PO BOX 402, COS COB, CT 06807-0402
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
12803
SC
225100000X
Physical Therapist
13569
CT
225100000X
Physical Therapist
306389
CA
225100000X
Physical Therapist
PTL20301
CO
Other
Enumeration date
06/14/2022
Last updated
04/02/2025
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