Individual
JENNIFER MADSEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
673 COLUMBIA TURNPIKE, EAST GREENBUSH, NY 12061
(518) 233-0544
Mailing address
239 BEST-LUTHER ROAD, EAST GREENBUSH, NY 12061-4316
(518) 257-2073
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
011621
NY
Other
Enumeration date
10/29/2024
Last updated
10/29/2024
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