Individual
JIM WILLINGHAM
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OT
Contact information
Practice address
2201 11TH AVE, HALEYVILLE, AL 35565-1613
(205) 486-9478
(205) 486-8738
Mailing address
170 LOVERS LN, HAMILTON, AL 35570-4710
(205) 275-3096
Taxonomy
Speciality
Code
Description
License number
State
225X00000X
Occupational Therapist
Primary
2693
AL
Other
Enumeration date
07/02/2007
Last updated
07/08/2007
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