Individual provider · NPI-1

Ashley Madajczyk, COTA/L

Occupational Therapy Assistant · Merrillville, IN

NPI number1497204689
StatusActive
Last updated in NPPESSep 28, 2016

Details

NPI
1497204689
Entity type
Individual (NPI-1)
Name
Ms. Ashley Madajczyk
Credential
COTA/L
Sex
Female
Sole proprietor
Yes
Enumeration date
Sep 28, 2016
Last updated
Sep 28, 2016

Taxonomy and licenses

Taxonomy codeDescriptionLicenseStatePrimary
224Z00000X Occupational Therapy Assistant32003086AINYes
224Z00000X Occupational Therapy Assistant057003874IL

Practice location

7250 Arthur Blvd
Merrillville, IN 46410-3766

Phone 219-649-7445 · Fax 219-649-7446

Mailing address

7250 Arthur Blvd
Merrillville, IN 46410-3766

Phone 219-649-7445 · Fax 219-649-7446

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