Individual
MADISON FAULKNER
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
MSOT, OTR/L
Contact information
Practice address
614 CARDINAL DR, LEXINGTON, NC 27292-5525
(336) 225-6872
Mailing address
614 CARDINAL DR, LEXINGTON, NC 27292-5525
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
16418
NC
Other
Enumeration date
12/18/2023
Last updated
12/18/2023
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