Individual
MADISON MAINARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L, CLT
Contact information
Practice address
2121 S MERIDIAN, PUYALLUP, WA 98371-7506
(253) 904-3535
Mailing address
3719 N BENNETT ST, TACOMA, WA 98407-3536
(253) 250-6039
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
OT61256096
WA
Other
Enumeration date
05/30/2024
Last updated
05/30/2024
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