Provider Demographics
NPI:1790548881
Name:STRICKLAND, MADISON MARTELLE (OTR/L)
Entity Type:Individual
Prefix:
First Name:MADISON
Middle Name:MARTELLE
Last Name:STRICKLAND
Suffix:
Gender:F
Credentials:OTR/L
Other - Prefix:
Other - First Name:MADISON
Other - Middle Name:MARTELLE
Other - Last Name:DUSH
Other - Suffix:
Other - Last Name Type:Former Name
Other - Credentials:
Mailing Address - Street 1:9220 HIGHWAY 71 S STE 10
Mailing Address - Street 2:
Mailing Address - City:FORT SMITH
Mailing Address - State:AR
Mailing Address - Zip Code:72916-9151
Mailing Address - Country:US
Mailing Address - Phone:479-763-1412
Mailing Address - Fax:479-763-1425
Practice Address - Street 1:9220 HIGHWAY 71 S STE 10
Practice Address - Street 2:
Practice Address - City:FORT SMITH
Practice Address - State:AR
Practice Address - Zip Code:72916-9151
Practice Address - Country:US
Practice Address - Phone:479-763-1412
Practice Address - Fax:479-763-1425
Is Sole Proprietor?:Yes
Enumeration Date:2024-02-01
Last Update Date:2024-02-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
AROTR3781225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist