Individual
MADDISON LYNN AULTMAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR
Contact information
Practice address
1714 WOLF CIR, LAKE CHARLES, LA 70605-2353
(337) 508-2505
(337) 508-2506
Mailing address
1714 WOLF CIR, LAKE CHARLES, LA 70605-2353
(337) 508-2505
(337) 508-2506
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
343887
LA
Other
Enumeration date
09/12/2024
Last updated
09/12/2024
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