Individual
MS. TAMMY ANNETTE WILLIS
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTA/L
Contact information
Practice address
500 JOHN ALDRIDGE DR, TUSCUMBIA, AL 35674-3000
(256) 383-4541
Mailing address
258 OLD KEELON GAP RD, SPRUCE PINE, AL 35585-4416
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2667
AL
Other
Enumeration date
11/26/2012
Last updated
11/26/2012
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