Individual
MADISON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
(866) 919-3240
Mailing address
14651 DALLAS PKWY STE 200, DALLAS, TX 75254-8856
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
—
—
Other
Enumeration date
02/08/2021
Last updated
02/08/2021
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