NPI 1124168463

Leonard Thomas Maddox, PTA

Practitioner Physical Therapy Assistant Charleston, SC

Practice location

Address: 1291 Palm Cove Dr, Charleston, SC 29492-8006
Phone: (843) 324-1456

Registered specialties

Physical Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 225200000X Licence 1573 (SC)

Other Physical Therapy Assistant providers in South Carolina →

Registry record

NPI: 1124168463
Entity type: Individual
Sex (as registered): Male
NPI issued: 7 Feb 2007
Record last updated: 8 Jul 2007

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.