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Individual

MADELINE GRACE SIMMONS

Active
Sole proprietor
No

Provider details

NPI number
Gender
F

Contact information

Practice address
326 COUNTRY CLUB DR, NEW ALBANY, IN 47150-4618
(812) 948-1311
Mailing address
2201 DEERCROSS DR UNIT 106, LOUISVILLE, KY 40220-6728

Taxonomy

Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
99112615A
IN

Other

Enumeration date
07/25/2022
Last updated
07/25/2022
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