Individual
ETHAN S WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
COTA
Contact information
Practice address
2802 S WASHINGTON ST, AMARILLO, TX 79109-2328
(806) 680-6490
Mailing address
2802 S WASHINGTON ST, AMARILLO, TX 79109-2328
(806) 680-6490
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
210564
TX
Other
Enumeration date
04/23/2026
Last updated
04/23/2026
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