Individual
EMILY MADDER
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
15911 NACOGDOCHES RD, SAN ANTONIO, TX 78247-1107
(210) 599-7733
Mailing address
12222 VANCE JACKSON RD, APT 1626, SAN ANTONIO, TX 78230-5936
(814) 449-5238
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
114500
TX
Other
Enumeration date
01/07/2015
Last updated
01/07/2015
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