Individual
MISS MADISON FOULKE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
MS, OTR/L
Contact information
Practice address
1911 S 17TH ST STE 100, WILMINGTON, NC 28401-6663
(910) 313-2111
(910) 313-2119
Mailing address
1911 S 17TH ST STE 100, WILMINGTON, NC 28401-6663
(910) 313-2111
(910) 313-2119
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
15776
NC
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
03/22/2023
Last updated
04/17/2025
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