Individual
MADELINE FAYE BAZAN
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
9500 UNIVERSITY AVE STE AND1116, WEST DES MOINES, IA 50266-1888
(515) 987-9012
Mailing address
110 MELROSE DR, WAUKEE, IA 50263-8511
(515) 313-6619
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
115246
IA
Other
Enumeration date
07/06/2022
Last updated
07/06/2022
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