Individual
ANDREA FAYE MADDIX
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1658 PRIVATE ROAD 3952, WILLOW WOOD, OH 45696-8932
(740) 867-4027
Mailing address
1658 PRIVATE ROAD 3952, WILLOW WOOD, OH 45696-8932
(740) 867-4027
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
C1682
WV
Other
Enumeration date
05/16/2013
Last updated
05/27/2013
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