Individual
MADISON ELAINE GRIBBINS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
2092 AYRSLEY TOWN BLVD, CHARLOTTE, NC 28273-4037
(704) 577-4094
Mailing address
1295 BRAEBURN RD NW, CONCORD, NC 28027-9007
(704) 430-4541
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
16861
NC
Other
Enumeration date
08/27/2025
Last updated
08/27/2025
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