Individual
MRS. MADELYN O'CONNOR MATHIAS
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
221 LOCKWOOD DR, LEXINGTON, SC 29072-3938
(803) 429-1166
(803) 996-1253
Mailing address
221 LOCKWOOD DR, LEXINGTON, SC 29072-3938
(803) 429-1166
(803) 996-1253
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
3158
SC
Other
Enumeration date
04/17/2008
Last updated
10/08/2009
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