Individual
MADISON THOMAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
OTRL
Contact information
Practice address
21500 HAGGERTY RD STE 160, NORTHVILLE, MI 48167-8992
(855) 413-2225
Mailing address
2145 HEIDI DR, OXFORD, MI 48370-2812
(248) 408-4944
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
05/26/2025
Last updated
05/26/2025
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