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Individual
MR. JOE F WILLARD
Active
Individual
MR. JOE F WILLARD
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
OTRL
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0967
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-10960
SCR BCBS
AL
01
—
515-38619
CFI BCBS
AL
01
—
515-38620
MCB BCBS
AL
Enumeration date
05/04/2007
Last updated
07/08/2007
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