Individual
MADISON CARMICHAEL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT LICENSE APPLICANT
Contact information
Practice address
1860 TOWN CENTER DR, RESTON, VA 20190-5896
(703) 435-6604
Mailing address
8164 SHIPS CURVE LN, SPRINGFIELD, VA 22153-1838
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
—
—
Other
Enumeration date
10/05/2023
Last updated
01/21/2025
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