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NPI Code Detail

MEDICARE: MADISON DOUGAREE OTR/L

MEDICARE: MADISON DOUGAREE OTR/L
Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

# Taxonomy Code Taxonomy License Number License Number State
1225XP0200XPediatric Occupational TherapistOT.0009264CO

General Provider Information

NPI Number : 1649061540
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADISON DOUGAREE OTR/L
Provider Business Mailing Address
First Line : 996 BRONSON HTS APT 210
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80907-6582
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 6845 CAMPUS DR STE 100
Second Line :
City : COLORADO SPRINGS
State : CO
Zip : 80920-3107
Country : US
Telephone Number : 410-772-2000
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/13/2025
Last Update Date : 04/08/2026

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