MEDICARE: MS. MARGARET MADDEN PT

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	225100000X	Physical Therapist	1064053	TX
2	225100000X	Physical Therapist	01120	MO

General Provider Information

NPI Number	:	1508295528
Entity Type Code	:	Individual
Provider Name (Legal Business Name)	:	MS. MARGARET MADDEN PT

Provider Business Mailing Address
First Line	:	2001 ALDINE BENDER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77032-3119
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	2001 ALDINE BENDER RD
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77032-3119
Country	:	US
Telephone Number	:	281-985-6183
Fax Number	:

Authorized Official
Title or Position	:
Name	:
Credential	:
Telephone Number	:

Provider Enumeration Date	:	11/12/2013
Last Update Date	:	11/12/2013

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