Individual provider · Type 1 NPI

Tiffany Maddox, SPECIALIST

Prosthetic/Orthotic Supplier · Woodbridge, VA

NPI number 1265016141 Active

Practice location

14497 Potomac Mills Rd # 1013
Woodbridge, VA 22192-6807

Fax (276) 530-4153

Mailing address

9914 Hagel Cir
Lorton, VA 22079-4306

Specialties and licenses

TaxonomyCodeLicense
Prosthetic/Orthotic Supplier Primary 335E00000XNone listed

Prosthetic/Orthotic Supplier: 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.

3 other providers at this address

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About NPI 1265016141

Tiffany Maddox, SPECIALIST's National Provider Identifier is 1265016141, issued on May 7, 2021. The primary taxonomy on file is Prosthetic/Orthotic Supplier (335E00000X), and the practice location is in Woodbridge, VA. The record was last updated on May 7, 2021.