Individual
DR. MADISON AUGUST OAK
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
DPT
Contact information
Practice address
4425 BERRY DR APT 3711, WILSON, WY 83014-9102
(805) 458-8751
(212) 596-7133
Mailing address
PO BOX 1295, WILSON, WY 83014-1295
(805) 458-8751
Taxonomy
Speciality
Code
Description
License number
State
225100000X
Physical Therapist
045915
NY
225100000X
Physical Therapist
2305214727
VA
225100000X
Physical Therapist
28630
MD
225100000X
Physical Therapist
Primary
300611
CA
225100000X
Physical Therapist
40QA01926700
NJ
Other
Enumeration date
06/03/2020
Last updated
01/12/2022
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