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Data from the NPPES registry. May not reflect recent changes — verify at nppes.cms.hhs.gov.

MADISON BANIAK

Active Sole Proprietor

MADISON BANIAK is a Occupational Therapy Assistant healthcare provider located in SAINT PETERS, Missouri. NPI 1073182309 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapy Assistant · SAINT PETERS, MO

Registration Details

NPI Number
1073182309
Provider Type
Individual
Gender
Female
NPI Issued
Jun 21, 2021 (5.1693596381779 yrs)
Last Updated
Jun 21, 2021
License
2021007633 (MO)
Sole Proprietor
Yes

Practice Information

Address
1408 GRANITE RIDGE DR
SAINT PETERS, MO, 633031621
Browse MO providers · Browse ZIP 63303
Phone
3143061359
Primary Specialty
Occupational Therapy Assistant
224Z00000X

Other Occupational Therapy Assistant Providers in SAINT PETERS, MO

Name Credential NPI
MRS. PERI JO BOZDECH COTA-L 1215074554
DORIS M SMITH COTA 1013115179
MRS. DEBBIE ANN SCHMUTZ COTA 1154655124
MRS. ANGELA MARIE CATRON COTA 1144647231
DAWN WESTRICH 1922426899
BRENDA GALLOY 1821416603
Data sourced from the NPPES National Provider Identifier registry. This information is for informational purposes only and is not a substitute for verifying credentials with the appropriate licensing authority. For official verification, use the NPPES NPI Registry or the relevant state medical board.