Individual
PAMELA DEANN WHALEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
F
Credential
COTA/L
Contact information
Practice address
1350 14TH AVE SE, DECATUR, AL 35601-4364
(257) 355-6911
Mailing address
201 HICKORY AVE SW, CULLMAN, AL 35055-3355
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
2053
AL
Other
Enumeration date
09/09/2014
Last updated
09/09/2014
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