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Individual

MADISON DRIGGS FLAKE

Active
Sole proprietor
No

Provider details

NPI number
Gender
Man
Credential
OTR/L

Contact information

Practice address
22518 E CAMINA BUENA VIS, QUEEN CREEK, AZ 85142-9686
(801) 822-4621
Mailing address
22518 E CAMINA BUENA VIS, QUEEN CREEK, AZ 85142-9686
(801) 822-4621

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
342834
AZ
225XE0001X
Environmental Modification Occupational Therapist
342834
AZ
225XE1200X
Ergonomics Occupational Therapist
342834
AZ
225XP0019X
Physical Rehabilitation Occupational Therapist
342834
AZ

Other

Enumeration date
05/17/2019
Last updated
05/17/2019
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