Individual
ALINE FAWZI WIMBERLY
Active
Sole proprietor
No
Provider details
NPI number
Gender
F
Credential
OTR/L
Contact information
Practice address
396 AUGUSTA PL, CLARKSVILLE, TN 37043-6722
(614) 570-8918
Mailing address
396 AUGUSTA PL, CLARKSVILLE, TN 37043
(614) 570-8918
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
0000003971
TN
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
000000000000000
NOT SURE, I WORK FOR A HOSPITAL
TN
Enumeration date
07/23/2009
Last updated
07/23/2009
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