Individual
MADALYNN LISS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4436 BEECHER RD, FLINT, MI 48532-2609
(810) 733-0290
Mailing address
510 TANIA TRL, LINDEN, MI 48451-8839
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201013620
MI
Other
Enumeration date
09/19/2023
Last updated
09/19/2023
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