Individual
MADISON HOLMBERG
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
451 S PARK RIDGE RD # 101, BLOOMINGTON, IN 47401-8589
(812) 747-9384
(812) 413-2416
Mailing address
451 S PARK RIDGE RD # 101, BLOOMINGTON, IN 47401-8589
(812) 747-9384
(812) 413-2416
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007981A
IN
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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