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NPI Code Detail

MEDICARE: MADELINE ALLSUP

MEDICARE:   MADELINE  ALLSUP
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
1225X00000XOccupational Therapist

General Provider Information

NPI Number : 1023947744
Entity Type Code : Individual
Provider Name (Legal Business Name) : MADELINE ALLSUP
Provider Business Mailing Address
First Line : 1200 COVINGTON WAY APT 3016
Second Line :
City : CONWAY
State : AR
Zip : 72034-0167
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 2510 W HUDSON RD
Second Line :
City : ROGERS
State : AR
Zip : 72756-2072
Country : US
Telephone Number : 479-936-1061
Fax Number :
Authorized Official
Title or Position :
Name :
Credential :
Telephone Number :
Provider Enumeration Date : 05/18/2026
Last Update Date : 05/18/2026

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Directions to “ MADELINE ALLSUP ” Practice Location

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