Individual
MADISON LEIDIG
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
541 3RD AVE S, EDMONDS, WA 98020-4103
(425) 478-3318
Mailing address
541 3RD AVE S, EDMONDS, WA 98020-4103
(425) 478-3318
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61672428
WA
Other
Enumeration date
04/26/2025
Last updated
04/26/2025
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