Individual
MADELEINE DANIELLE LAMAR
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
COTA
Contact information
Practice address
1109 E LEON ST, GATESVILLE, TX 76528-2143
(254) 216-8162
Mailing address
1109 E LEON ST, GATESVILLE, TX 76528-2143
(254) 216-8162
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
216754
TX
Other
Enumeration date
04/30/2021
Last updated
04/30/2021
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