Individual
MADELINE ULRICH
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
4870 E JACKSON ST, MUNCIE, IN 47303-4432
(765) 254-9717
Mailing address
250 N SHADELAND AVE, INDIANAPOLIS, IN 46219-4959
(317) 948-9174
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
31007622A
IN
Other
Enumeration date
12/06/2021
Last updated
03/29/2022
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