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1477230506
MADELINE LORRAINE BOUTWELL
CARROLLTON, TX
NPI
1477230506
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Entity Type
Individual
Gender
Female
Sole Proprietor ?
No
Primary Taxonomy
225X00000X Occupational Therapist
(Licence: TX 123682)
Enumeration Date
2023-06-30
Last Update Date
2023-06-30
Business Address
MADELINE LORRAINE BOUTWELL OTD, OTR
1000 W CROSBY RD STE 136
CARROLLTON, TX 75006-6904
Phone number: 512-750-0323
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Mailing Address
MADELINE LORRAINE BOUTWELL OTD, OTR
1538 BATEY BND
DENTON, TX 76208-4301
Phone number: 512-750-0323
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