Eboni Madlock
Eboni Madlock is an Occupational Therapist in Jackson, Mississippi. Licensed in Mississippi and Texas. Registered with an NPI since 2015.
- Licensed in
- MS, TX
- In the registry since
- 2015
- Specialties on file
- 2
Practice location Address checks out
1081 Autumn StJackson, MS 39212-2555
Phone: (601) 874-5741
Show map & directions
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Pin is approximate — placed at the ZIP-code centre, not the exact door.
Specialties & licences
| Occupational Therapist (primary) | Taxonomy 225X00000X · Licence 3294 (MS) |
|---|---|
| Occupational Therapist | Taxonomy 225X00000X · Licence 117075 (TX) |
Record details
| NPI number | 1568848166 |
|---|---|
| Entity type | Individual (Type 1) |
| Gender | Female |
| Sole proprietor | No |
| NPI enumerated | August 5, 2015 |
| Last updated in NPPES | June 21, 2021 |
| Certification date | June 21, 2021 |
| Mailing address | 1081 Autumn St, Jackson, MS 39212-2555 |
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