Individual
MADISON THOMAS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OT
Contact information
Practice address
611 2ND ST STE A, MARIETTA, OH 45750-2167
(740) 568-0650
Mailing address
1500 GRAND CENTRAL AVE STE 101, VIENNA, WV 26105-1079
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT013444
OH
Other
Enumeration date
08/25/2025
Last updated
08/25/2025
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