NPI 1093596702

Madison Mae Ebeling

Practitioner Occupational Therapy Assistant Columbia, MO

Practice location

Address: 4200 Merchant St STE 103, Columbia, MO 65203-5816
Phone: (573) 777-8783

Registered specialties

Occupational Therapy Assistant Primary

Respiratory, Developmental, Rehabilitative and Restorative Service Providers Taxonomy 224Z00000X Licence 2023039468 (MO)

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Registry record

NPI: 1093596702
Entity type: Individual
Sex (as registered): Female
NPI issued: 9 Oct 2023
Record last updated: 9 Oct 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.