NPI 1053091975

Amanda Jo Madison

Practitioner Occupational Therapy Assistant Saint Paul, MN

Practice location

Address: 2319 7th St W, Saint Paul, MN 55116-2813
Phone: (651) 698-0793
Fax: (651) 698-0378
Mailing address: 3649 Quail Ave N, Robbinsdale, MN 55422-2060

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 202619 (MN)

Other Occupational Therapy Assistant providers in Minnesota →

Registry record

NPI: 1053091975
Entity type: Individual
Sex (as registered): Female
NPI issued: 25 Jul 2023
Record last updated: 25 Jul 2023

Reproduced from NPPES, the federal provider registry. The date above is when the provider last updated their own entry, not when we fetched it - a record can be years old and still current in the registry.