Individual
MADISON AUGUSTYN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
17805 CYPRESS DR APT 222, OMAHA, NE 68136-4284
(913) 530-4016
Mailing address
17805 CYPRESS DR APT 222, OMAHA, NE 68136-4284
(913) 530-4016
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
115265
IA
225X00000X
Occupational Therapist
Primary
2676
NE
Other
Enumeration date
05/01/2024
Last updated
05/01/2024
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