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

MADISON BOHANNON

Active

MADISON BOHANNON is a Occupational Therapist healthcare provider located in LEAKESVILLE, Mississippi. NPI 1457198806 is currently active in the NPPES registry. Verify at CMS.

Occupational Therapist · LEAKESVILLE, MS

Registration Details

NPI Number
1457198806
Provider Type
Individual
Gender
Female
NPI Issued
Jul 12, 2024 (2.1228375126668 yrs)
Last Updated
Jul 12, 2024
License
OT4157 (MS)

Practice Information

Address
433 MAIN ST
LEAKESVILLE, MS, 394516502
Browse MS providers · Browse ZIP 39451
Phone
6013944545
Fax
6013944546
Primary Specialty
Occupational Therapist
225X00000X

Other Occupational Therapist Providers in LEAKESVILLE, MS

Name Credential NPI
MERRITT B VISE 1518715028
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.