NPI 1265016141

Tiffany Maddox, SPECIALIST

Practitioner Prosthetic/Orthotic Supplier Woodbridge, VA

Practice location

Address: 14497 Potomac Mills Rd # 1013, Woodbridge, VA 22192-6807
Phone: (571) 570-6361
Fax: (276) 530-4153
Mailing address: 9914 Hagel Cir, Lorton, VA 22079-4306

Registered specialties

Prosthetic/Orthotic Supplier Primary

Suppliers Taxonomy 335E00000X

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Registry record

NPI: 1265016141
Entity type: Individual
Sex (as registered): Female
NPI issued: 7 May 2021
Record last updated: 7 May 2021

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.