Individual
MADISON PARKER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1424 S MAIN ST STE 2, ADRIAN, MI 49221-4309
(517) 312-1711
Mailing address
PO BOX 419885, BOSTON, MA 02241-9885
(888) 830-4125
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
5201010690
MI
Other
Enumeration date
07/30/2018
Last updated
09/21/2022
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