Individual
MADISON NICOLE LAND
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
803 N LAUREL ST, LINCOLNTON, NC 28092-2921
(980) 241-5361
Mailing address
270 CONIFER WAY, SHELBY, NC 28150-7302
(828) 506-5701
(980) 701-0008
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
15449
NC
Other
Enumeration date
10/06/2022
Last updated
01/28/2024
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