Individual
MADILYN LEE MOORE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
5211 MARSH RD, OKEMOS, MI 48864-1106
(517) 319-1440
Mailing address
2827 HOLLYWOOD ST, LANSING, MI 48906-2834
(517) 803-0018
(517) 803-0018
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
5202010312
MI
Other
Enumeration date
06/16/2026
Last updated
06/16/2026
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