Individual
TERRY HENLEY WOOSLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
OTR, MPH
Contact information
Practice address
1726 W 2ND ST STE C, MONTGOMERY, AL 36106-1546
(334) 262-1726
Mailing address
PO BOX 11449, MONTGOMERY, AL 36111-0449
(334) 262-1726
Taxonomy
Speciality
Code
Description
License number
State
225XP0200X
Pediatric Occupational Therapist
Primary
0024
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
510-74221
BLUECROSS-BLUESHIELD/AL
AL
Enumeration date
10/06/2006
Last updated
07/08/2007
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