Most Relevant Information
Provider Data
| NPI Number: | 1003534439 |
| Provider Name: | MADISON TAYLOR O'HARA OTR/L |
| Entity Type: | Individual |
| Taxonomy Code: | 225X00000X |
| Specialty: | Occupational Therapist |
| License Number: | 15313 |
Most Important Dates
| Enumeration Date: | 08/22/2022 |
| Last Updated: | 08/22/2022 |
Provider Practice Location
7926 TURQUOISE DR
CHARLOTTE
NC
282159460
Practice Location Phone/Fax
| Phone: | 7048169982 |
| Fax: |
Provider Mailing Location
7926 TURQUOISE DR
CHARLOTTE
NC
282159460
Provider Mailing Phone/Fax
| Phone: | 7048169982 |
| Fax: |