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Contact Information

CRYSTAL L MADDOX, MPT
200 MEDICAL PARK BLVD
PETERSBURG, VA23805-9274
 Phone: 804-765-5000
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Geriatrics

2251G0304X 65 Physical Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for CRYSTAL L MADDOX · (Female)

NPI # 1295374643
Status Active
Credentials MPT (Master of Physical Therapy)
Entity Individual
Enumeration date 01/02/2020
Last updated 01/02/2020 - About 6 years ago
Sole proprietor 1 No
Identifiers
  • PA License # PT028240
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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