Individual
MADISON FARMER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Contact information
Practice address
1585 N 113TH AVE, AVONDALE, AZ 85392-3938
(623) 259-9819
Mailing address
6081 N 85TH DR, GLENDALE, AZ 85305-2566
(623) 764-5591
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OTH-010087
AZ
225XF0002X
Feeding, Eating & Swallowing Occupational Therapist
OTH-010087
AZ
Other
Enumeration date
07/05/2023
Last updated
02/20/2026
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