Individual
MADELYN O'DELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
4640 MARTIN RD, CUMMING, GA 30041-5542
(678) 679-1261
(678) 250-9010
Mailing address
16085 SEGWICK DR, MILTON, GA 30004-4432
Taxonomy
Speciality
Code
Description
License number
State
106S00000X
Behavior Technician
—
—
225X00000X
Occupational Therapist
Primary
OT008761
GA
Other
Enumeration date
05/13/2021
Last updated
02/17/2023
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