Maddox, Crystal Leigh
Maddox, Crystal Leigh is an individual health care provider with primary practice located at 200 Medical Park Blvd , Petersburg VA 23805-9274. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics, which is considered as her primary health care specialty. Maddox, Crystal Leigh can be contacted via phone (804) 765-5000.Contact Information
Primary practice address
200 Medical Park Blvd
Petersburg VA 23805-9274
Phone: (804) 765-5000
Fax:
Website:
Health care specialties
| Specialty | Code | License # | State |
|---|---|---|---|
| Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Geriatrics | 2251G0304X | PT028240 | Pennsylvania |
Profile Details
| NPI number | 1295374643 |
|---|---|
| LBN Legal business name | Maddox, Crystal Leigh |
| Credentials | Master of Physical Therapy (MPT) |
| Entity | Individual |
| Sole proprietor 1 | No |
| Enumeration date | Jan 2nd, 2020 |
| Last updated | Jan 2nd, 2020 - about 4 years ago |
1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.
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