Individual
MADISON J SANDERS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1201 8TH ST S, VIRGINIA, MN 55792-3349
(218) 748-7800
Mailing address
3439 OUTER DR, HIBBING, MN 55746-2658
(218) 969-2555
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
03/15/2023
Last updated
03/15/2023
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