Provider Demographics
NPI:1538995295
Name:DAVIS-ROWLEY, MADELINE MINKLEI (OTD, OTR/L)
Entity type:Individual
Prefix:
First Name:MADELINE
Middle Name:MINKLEI
Last Name:DAVIS-ROWLEY
Suffix:
Gender:F
Credentials:OTD, OTR/L
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:4400 MARKETING PL
Mailing Address - Street 2:
Mailing Address - City:GROVEPORT
Mailing Address - State:OH
Mailing Address - Zip Code:43125-9307
Mailing Address - Country:US
Mailing Address - Phone:740-334-7672
Mailing Address - Fax:
Practice Address - Street 1:4600 MADISON SCHOOL DR
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-5722
Practice Address - Country:US
Practice Address - Phone:614-833-2011
Practice Address - Fax:
Is Sole Proprietor?:No
Enumeration Date:2024-09-10
Last Update Date:2024-09-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHOT010665225X00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes225X00000XRespiratory, Developmental, Rehabilitative and Restorative Service ProvidersOccupational Therapist