Individual
MADISON R MATHEWS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR
Contact information
Practice address
410 W LILLIE BLVD, MADILL, OK 73446-1270
(580) 872-4277
(580) 872-4261
Mailing address
1405 4TH AVE NW # 296, ARDMORE, OK 73401-2708
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
2134
OK
225X00000X
Occupational Therapist
Primary
6103
OK
Other
Enumeration date
02/08/2021
Last updated
06/19/2025
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