Individual
MADISON UNDERWOOD HARMON
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Contact information
Practice address
614 CARDINAL DR, LEXINGTON, NC 27292-5525
(336) 843-1420
Mailing address
614 CARDINAL DR, LEXINGTON, NC 27292-5525
(336) 843-1420
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
14176
NC
225X00000X
Occupational Therapist
—
—
390200000X
Student in an Organized Health Care Education/Training Program
—
—
Other
Enumeration date
09/11/2020
Last updated
01/05/2023
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