Individual
MADISON SUZANNE ANDERSON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT, MOT
Contact information
Practice address
10801 E STATE ROUTE 350 STE B, RAYTOWN, MO 64138
(816) 737-5500
(816) 737-5504
Mailing address
6397 LEE HWY STE 300, CHATTANOOGA, TN 37421-2564
(423) 238-7217
(423) 238-3473
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
17-03456
KS
225X00000X
Occupational Therapist
Primary
2018028563
MO
Other
Enumeration date
06/19/2018
Last updated
10/08/2019
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