Individual
MADISON BROOKE SLESK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
930 E SOUTHERN AVE, TEMPE, AZ 85282
(480) 456-0719
Mailing address
690 32ND ST APT 210, BELLINGHAM, WA 98225-6925
(801) 472-8283
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
OTA-047277
AZ
Other
Enumeration date
08/31/2023
Last updated
08/31/2023
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