Individual
MADISON DALLENBACH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
2703 UNIVERSITY BLVD E, TUSCALOOSA, AL 35404-3226
(205) 248-7064
(205) 523-7158
Mailing address
119 WEXFORD WAY, TUSCALOOSA, AL 35405-6131
(918) 740-5280
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
6149
AL
Other
Enumeration date
08/23/2023
Last updated
08/23/2023
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