Individual
MADISON LEE PAINE
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTD
Contact information
Practice address
2200 FORT ROOTS DR, NORTH LITTLE ROCK, AR 72114-1709
(501) 257-3387
Mailing address
668 W NIX RD, ROCKPORT, AR 72104-2194
(501) 538-0484
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT2024-024
AR
Other
Enumeration date
09/16/2024
Last updated
09/16/2024
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