Individual
MICHAEL MADLEM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA, LVN
Contact information
Practice address
19957 MODOC RD, APPLE VALLEY, CA 92308-6134
(714) 308-5548
Mailing address
19957 MODOC RD, APPLE VALLEY, CA 92308-6134
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2845
CA
Other
Enumeration date
04/09/2026
Last updated
04/09/2026
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