Mrs. Crystal Leigh Maddox
Physical Therapist - Geriatrics
200 Medical Park Blvd
Petersburg
, Virginia 23805-9274
Mrs. Crystal Leigh Maddox
Physical Therapist - Geriatrics
200 Medical Park Blvd
Petersburg
, Virginia 23805-9274
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About
Features
Specialties
- Physical Therapist - Geriatrics
Languages spoken
- English
Location
First Address
- Mrs. Crystal Leigh Maddox
- 11104 Courthouse Rd
- Waverly, VA
- Zip : 23890-4422
- Phone :
Second Address
- Mrs. Crystal Leigh Maddox
- 200 Medical Park Blvd
- Petersburg, VA
- Zip : 23805-9274
- Phone : (804) 765-5000
Reviews
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Scope of Practice
| Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
|---|---|---|---|---|
| Y | 2251G0304X | Physical Therapist - Geriatrics | PT028240 | PA |
National Provider Identifier
| NPI | 1295374643 |
|---|---|
| Provider Name | Mrs. Crystal Leigh Maddox |
| First Address | Waverly, VA 23890-4422 |
| Second Address | Petersburg, VA 23805-9274 |
| Gender | F |
| NPI Entity type | Individual |
| Is Sole Proprietor | No |
| Is Organization Subpart | N/A |
| Enumeration Date | 02/01/2020 |
| Last Update Date | 02/01/2020 |
NPI Footnotes
What is the National Provider Identifier (NPI)
Provider Location Address
Provider Mailing Address
Entity Type Code
1= Person: individual human being who furnishes health care;
2= Non-person: entity other than an individual human being that furnishes health care (Examples: hospital, SNF, hospital subunit, pharmacy, or HMO)
What is a Subpart?
Provider Other Organization Name
1 = former name;
2 = professional name;
3 = doinq business as (d/b/ a) name;
4 = former legal business name;
5 = other.