Individual
MS. DEIRDRE E MADDEN
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
143 KNOLLWOOD AVE, MAMARONECK, NY 10543-1225
(917) 756-5665
Mailing address
143 KNOLLWOOD AVE, MAMARONECK, NY 10543-1225
(917) 756-5665
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
012754
NY
252Y00000X
Early Intervention Provider Agency
012754
NY
Other
Enumeration date
07/22/2009
Last updated
03/21/2023
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