Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.
EDSON VICTOR MADAMBA, PT
ActiveEDSON VICTOR MADAMBA, PT is a Physical Therapy Assistant healthcare provider located in JACKSONVILLE, North Carolina. NPI 1821635863 is currently active in the NPPES registry. Verify at CMS.
Physical Therapy Assistant · JACKSONVILLE, NC
Registration Details
- NPI Number
- 1821635863
- Provider Type
- Individual
- Gender
- Male
- NPI Issued
- Dec 10, 2019 (6.6762647626944 yrs)
- Last Updated
- Dec 10, 2019
- License
-
P19249 (NC)
Practice Information
- Address
-
122 BRANCHWOOD SHOPPING CTRJACKSONVILLE, NC, 285465800Browse NC providers · Browse ZIP 28546
- Phone
- 9109387555
- Primary Specialty
-
Physical Therapy Assistant
225100000X
Other Physical Therapy Assistant Providers in JACKSONVILLE, NC
| Name | Credential | NPI |
|---|---|---|
| MICHAEL JOSEPH AUGUSTINE | DPT | 1861485377 |
| CHRISTIE KENNEDY AUGUSTINE | MPT | 1346233863 |
| DARRIN EUGENE MADOLE | PT | 1093790214 |
| KIRA PORTER BOYD | MSPT | 1205809449 |
| LISA B MCINTOSH | PT | 1710953328 |
| BRADLEY ALLEN OTTINGER | MPT | 1861452526 |
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.