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Tiffany Maddox, SPECIALIST
Prosthetic/Orthotic Supplier in Woodbridge, Virginia
NPI 1265016141

Tiffany Maddox is a Prosthetic/Orthotic Supplier based in Lorton, VA. Tiffany Maddox practices in Woodbridge, VA and has the professional credentials of SPECIALIST. The NPI Number for Tiffany Maddox is 1265016141 and holds a License No. (Virginia).

The current practice location address for Tiffany Maddox is 14497 Potomac Mills Rd # 1013, Woodbridge, VA and can be reached out via phone at 571-570-6361 and via fax at 276-530-4153.

Location: 14497 Potomac Mills Rd # 1013, Woodbridge, VA, 22079-4306
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
person
Provider Profile Details
NPI Number
1265016141
Provider Name
Tiffany Maddox
Credential
SPECIALIST
Provider Entity Type
Individual
Gender
Female
Address
14497 Potomac Mills Rd # 1013, Woodbridge, VA, 22079-4306
Phone Number
571-570-6361
Fax Number
276-530-4153
Provider Enumeration Date
05/07/2021
Last Update Date
03/10/2024
institution
Provider Business Practice Location Address Details
Address
14497 Potomac Mills Rd # 1013
City
Woodbridge
State
Virginia
Zip
22192-6807
Phone Number
571-570-6361
Fax Number
276-530-4153
person
Provider Business Mailing Address Details
Address
14497 Potomac Mills Rd # 1013
City
Woodbridge
State
Virginia
Zip
22192-6807
Phone Number
571-570-6361
Fax Number
276-530-4153
person
Provider's Taxonomy Details 1
Type
Suppliers
Classification
Prosthetic/Orthotic Supplier
Speciality
-
Taxonomy
335E00000X
License No.
()
Definition
An organization that provides prosthetic and orthotic care which may include, but is not limited to, patient evaluation, prosthesis or orthosis design, fabrication, fitting and modification to treat limb loss for purposes of restoring physiological function and/or cosmesis or to treat a neuromusculoskeletal disorder or acquired condition.
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