Individual
MR. WALTER THOMAS WORTHY III
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
COTA/L
Contact information
Practice address
110 GREENLAWN DR NE, MERIDIANVILLE, AL 35759-2512
(256) 783-7048
Mailing address
110 GREENLAWN DR NE, MERIDIANVILLE, AL 35759-2512
(256) 783-7048
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2785
AL
Other
Enumeration date
03/25/2009
Last updated
03/25/2009
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