Individual
MADISON NICOLE HASWELL
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
1405 SHADY AVE, PITTSBURGH, PA 15217-1350
(412) 420-2400
Mailing address
37 NORWICH AVE APT 1, PITTSBURGH, PA 15229-1948
(724) 494-9091
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OC015816
PA
Other
Enumeration date
04/16/2020
Last updated
04/16/2020
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