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Contact Information

MADISON D FLAKE, OTR/L
22518 E CAMINA BUENA VIS
QUEEN CREEK, AZ85142-9686
 Phone: 801-822-4621
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Occupational Therapist

225X00000X 67 Occupational Therapist in Private Practice
 

Environmental Modification

225XE0001X 67 Occupational Therapist in Private Practice
 

Ergonomics

225XE1200X 67 Occupational Therapist in Private Practice
 

Physical Rehabilitation

225XP0019X 67 Occupational Therapist in Private Practice
Indicates primary specialty

NPI Profile & details for MADISON D FLAKE · (Male)

NPI Number 1326604083
Status Active
Credentials OTR/L (Occupational Therapist, Registered, Licensed)
Entity Individual
Enumeration date 05/17/2019
Last updated 05/17/2019 - About 7 years ago
Sole proprietor 1 No
Identifiers
  • AZ License # 342834
Hospital affiliation(s) Not Available
1 A sole proprietor/sole proprietorship is an individual, and as such, is eligible for a single NPI number. The sole proprietor must apply for the NPI number using his or her own Social Security Number (SSN), not an Employer Identification Number (EIN) even if he/she has an EIN.

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