Madison, Amanda Jo

Madison, Amanda Jo is an individual health care provider with primary practice located at 2319 7Th St W , Saint Paul MN 55116-2813. She recently has only one registered license in Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant, which is considered as her primary health care specialty. Madison, Amanda Jo can be contacted via phone (651) 698-0793.

Contact Information

Primary practice address
2319 7Th St W Saint Paul MN 55116-2813
Phone: (651) 698-0793
Fax: (651) 698-0378
Website:
Map and Directions

Health care specialties

SpecialtyCodeLicense #State
Respiratory, Developmental, Rehabilitative and Restorative Service Providers / Occupational Therapy Assistant 224Z00000X 202619 Minnesota

Profile Details

NPI number 1053091975
LBN Legal business name Madison, Amanda Jo
Credentials
Entity Individual
Sole proprietor 1 No
Enumeration date Jul 25th, 2023
Last updated Jul 25th, 2023 - about 2 years ago

1 A sole proprietor/sole proprietorship is an individual, and in that capacity, is qualified for a solitary NPI number. The sole proprietor have to apply for the NPI number using his or her own particular Social Security Number (SSN), instead of Employer Identification Number (EIN) regardless of whether he/she has an EIN.

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