| NPI | 1831955582 |
|---|---|
| Former Name | MADISON CONN |
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225X00000X Occupational Therapist (Licence: SC 7475) |
| Additional Taxonomies | 225X00000X Occupational Therapist (Licence: GA OT009182) |
| Enumeration Date | 2024-02-21 |
| Last Update Date | 2025-02-07 |