Individual
CALEB MADDOCK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
6802 S OLYMPIA AVE, TULSA, OK 74132-1823
(918) 488-2280
(918) 488-2285
Mailing address
2158 S SANDUSKY AVE, TULSA, OK 74114-2134
(479) 684-6626
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
6339
OK
Other
Enumeration date
07/03/2024
Last updated
07/03/2024
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