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Individual

MS. VIVIAN YVONNE MADISON

Active
Sole proprietor
Yes

Provider details

NPI number
Gender
F
Credential
OTR

Contact information

Practice address
4863 HUTSON AVE, BIRMINGHAM, AL 35207-1215
(205) 669-7455
(205) 328-5821
Mailing address
4863 HUTSON AVE, BIRMINGHAM, AL 35207-1215
(205) 669-7455
(205) 328-5821

Taxonomy

Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0050
AL

Other

Enumeration date
05/10/2007
Last updated
07/08/2007
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