Individual
MR. WILL THAMES
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Credential
O.T.R.
Contact information
Practice address
6715 TAYLOR CT, MONTGOMERY, AL 36117-7708
(334) 396-2110
(334) 396-2115
Mailing address
PO BOX 242187, MONTGOMERY, AL 36124-2187
(334) 396-3273
(334) 396-4905
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
1138
AL
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
515-23720
BLUR CROSS & BLUE SHIELD
AL
01
—
51523719
BLUE CROSS & BLUE SHIELD
AL
Enumeration date
06/22/2006
Last updated
02/11/2010
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