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Individual

MADDISON LINN

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
COTA

Contact information

Practice address
501 GOODLETTE-FRANK RD N STE D302, NAPLES, FL 34102-5664
(239) 285-5651
(239) 315-4125
Mailing address
501 GOODLETTE-FRANK RD N STE D302, NAPLES, FL 34102-5664
(239) 285-5651
(239) 315-4125

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA18894
FL

Other

Other identifiers
Code
Description
Identifier
Issuer
State
01
OTA18894
DEPARTMENT OF HEALTH
FL
Enumeration date
08/19/2022
Last updated
08/19/2022
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