Individual
MR. ROBERT CHAD MADRILL
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
29 VERDOSA DR, PUEBLO, CO 81005-2941
(719) 546-0532
Mailing address
29 VERDOSA DR, PUEBLO, CO 81005-2941
(719) 546-0532
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
989930
CO
Other
Enumeration date
10/20/2006
Last updated
07/08/2007
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