Individual
CHAD MAGILKE
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
1485 INTERNATIONAL PKWY, SUITE 2051, HEATHROW, FL 32746-5303
(800) 798-6035
Mailing address
411 E TURNPIKE AVE, BISMARCK, ND 58501-1784
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
271922
OR
Other
Enumeration date
02/11/2009
Last updated
02/11/2009
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