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Individual

MADISON BRIGGS

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
COTA/L

Contact information

Practice address
620 E 1ST ST, GIBSON CITY, IL 60936-1898
(217) 784-4257
Mailing address
315 N BROADWAY ST, FISHER, IL 61843-9779
(217) 979-0434

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
057.005694
IL

Other

Enumeration date
11/16/2021
Last updated
11/16/2021
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