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Individual
MADISON MACKENZIE CAMPBELL
Active
Individual
MADISON MACKENZIE CAMPBELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
122850
TX
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
122850
OCCUPATIONAL THERAPY LICENSE
TX
Enumeration date
08/16/2022
Last updated
08/16/2022
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