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Individual

RUTH W MADDUX

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F

Contact information

Practice address
12997 NETTLES DR, NEWPORT NEWS, VA 23602-6913
(757) 249-8880
Mailing address
306 BEXLEY PARK WAY, NEWPORT NEWS, VA 23608-2176
(571) 224-8260

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0131002516
VA

Other

Enumeration date
08/22/2022
Last updated
08/22/2022
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