Maddox, Dina Louise

Maddox, Dina Louise is an sole proprietor health care provider with primary practice located at 1503 Woodbridge Rd Apt 1G , Joliet IL 60436-1389. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist, which is considered as her primary health care specialty. Maddox, Dina Louise can be contacted via phone (623) 640-9330.

Contact Information

Primary practice address
1503 Woodbridge Rd Apt 1G Joliet IL 60436-1389
Phone: (623) 640-9330
Fax:
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X MT-15306 Arizona
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Massage Therapist 225700000X 227022072 Illinois

Profile Details

NPI number 1467201145
LBN Legal business name Maddox, Dina Louise
Credentials LMT
Entity Individual
Sole proprietor 1 Yes
Enumeration date May 15th, 2024
Last updated May 15th, 2024 - about 7 months 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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