Individual
MADISON JEAN EWING
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
PT, DPT
Contact information
Practice address
103 MEDICINE WAY RD, PERIDOT, AZ 85542-5000
(928) 475-1400
Mailing address
1831 HOAGLAND RD, MOUNT MORRIS, NY 14510-9424
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
Primary
049272
NY
Other
Enumeration date
09/01/2022
Last updated
09/01/2022
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