Individual
MADISON HARLESS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
1971 STATE ST, COLUMBUS, IN 47201-7167
(864) 244-3626
Mailing address
616 EMMA DR, SEYMOUR, IN 47274-4157
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007172A
IN
Other
Enumeration date
07/29/2021
Last updated
07/29/2021
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