Madison Laine Story, OTD, OTR

NPI #1033095583 in Southlake, Texas

Provider Information

NPI Number: 1033095583
Entity Type: Individual
Name: Madison Laine Story, OTD, OTR
Gender: Not Specified
Sole Proprietor: Yes
Primary Specialty: Occupational Therapist
Credential: OTD, OTR
Enumeration Date: Aug 12, 2025
Last Updated: Aug 12, 2025

Practice Location

Address: 1140 N KIMBALL AVE
City: Southlake
State: Texas
ZIP Code: 76092-5569
Phone: (817) 479-7019

Specialties & Taxonomy Codes

Specialty	Taxonomy Code	Primary
Occupational Therapist	225X00000X	Primary

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