Provider Demographics
NPI:1386375467
Name:FLESHER, MADELINE (COTA/L)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:
Last Name:FLESHER
Suffix:
Gender:F
Credentials:COTA/L
Other - Prefix:
Other - First Name:MADELINE
Other - Middle Name:
Other - Last Name:FLESHER
Other - Suffix:
Other - Last Name Type:Professional Name
Other - Credentials:COTA/L
Mailing Address - Street 1:2400 RIVERFRONT DR APT 2222
Mailing Address - Street 2:
Mailing Address - City:LITTLE ROCK
Mailing Address - State:AR
Mailing Address - Zip Code:72202-2205
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:138 BRIGHTON TER
Practice Address - Street 2:
Practice Address - City:HOT SPRINGS
Practice Address - State:AR
Practice Address - Zip Code:71913-7144
Practice Address - Country:US
Practice Address - Phone:501-525-7140
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes224Z00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapy Assistant