Individual
MADISON BOOK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
5000 STONEWOOD DR STE 100, WEXFORD, PA 15090-8395
(724) 933-4673
Mailing address
116 2ND ST APT 2, ASPINWALL, PA 15215-2980
(814) 506-5568
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC019263
PA
Other
Enumeration date
08/29/2023
Last updated
08/29/2023
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