Individual
MADELINE ROBERTS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
210 S 2ND ST STE A, CLINTON, MO 64735-2172
(660) 885-2394
Mailing address
210 S 2ND ST STE A, CLINTON, MO 64735-2172
(660) 885-2394
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
2022005257
MO
Other
Enumeration date
02/17/2022
Last updated
06/17/2022
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