Individual
MADISON JANE SMITH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
3895 HARRISON BLVD, OGDEN, UT 84403-2312
(801) 387-7678
Mailing address
PO BOX 25537, SALT LAKE CITY, UT 84125-0537
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
13466874-4201
UT
Other
Enumeration date
08/23/2025
Last updated
11/28/2025
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