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Individual

MADISON CHARLTON

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
OTR/L

Contact information

Practice address
836 CENTENNIAL WAY STE 160, LANSING, MI 48917-8238
(517) 798-3677
Mailing address
836 CENTENNIAL WAY STE 160, LANSING, MI 48917-8238
(517) 798-3677
(517) 539-6764

Taxonomy

Speciality
Code
Description
License number
State
225XH1200X
Hand Occupational Therapist
Primary
225XP0200X
Pediatric Occupational Therapist
5201013381
MI

Other

Enumeration date
05/30/2023
Last updated
09/09/2024
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