Tiffany Maddox, SPECIALIST
Tiffany Maddox, SPECIALIST is a Prosthetic/Orthotic Supplier in Woodbridge, Virginia. Practices as a sole proprietor. Registered with an NPI since 2021.
- In the registry since
- 2021
Practice location Address checks out
14497 Potomac Mills Rd # 1013Woodbridge, VA 22192-6807
Phone: (571) 570-6361
Fax: (276) 530-4153
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Specialties & licences
| Prosthetic/Orthotic Supplier (primary) | Taxonomy 335E00000X |
|---|
Record details
| NPI number | 1265016141 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Credentials | SPECIALIST |
| Sole proprietor | Yes |
| NPI enumerated | May 7, 2021 |
| Last updated in NPPES | May 7, 2021 |
| Certification date | May 7, 2021 |
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