Individual
TAMMY GWEN PRINCE
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
X
Credential
COTA/L
Contact information
Practice address
112 N 16TH ST, OPELIKA, AL 36801-5656
(334) 610-0033
Mailing address
112 N 16TH ST, OPELIKA, AL 36801-5656
(334) 610-0033
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
6744
AL
Other
Enumeration date
07/21/2025
Last updated
07/21/2025
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