Most Relevant Information
Provider Data
| NPI Number: | 1003556556 |
| Provider Name: | JAMES VINCENT MADDAMMA |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 192416 |
Most Important Dates
| Enumeration Date: | 03/31/2022 |
| Last Updated: | 03/31/2022 |
Provider Practice Location
3689 DOTWOOD ST NW
NORTH CANTON
OH
447204453
Practice Location Phone/Fax
| Phone: | 3303124262 |
| Fax: |
Provider Mailing Location
3689 DOTWOOD ST NW
NORTH CANTON
OH
447204453
Provider Mailing Phone/Fax
| Phone: | 3303124262 |
| Fax: |