Individual
DARRELL MADISON JR.
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Contact information
Practice address
115 DESTRY RD, ROLAND, OK 74954-5269
(479) 651-8266
(479) 651-8266
Mailing address
115 DESTRY RD, ROLAND, OK 74954-5269
(479) 651-8266
(479) 651-8266
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2010
OK
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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