Individual
MADISON JULIA FREY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD, OTR/L
Contact information
Practice address
13642 N HWY 183 STE 200, AUSTIN, TX 78750-2210
(512) 331-4115
Mailing address
1300 E RIVERSIDE DR APT B402, AUSTIN, TX 78741-1117
(330) 940-9645
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
1528285020
TX
Other
Enumeration date
07/28/2023
Last updated
07/28/2023
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