Individual
COREY WILLS
Active
Sole proprietor
No
Provider details
NPI number
Gender
Man
Contact information
Practice address
6301 OVERTON RIDGE BLVD, FORT WORTH, TX 76132-3283
(817) 859-7897
Mailing address
904 LEIGHSFORD LN APT 3201, ARLINGTON, TX 76006-3802
(618) 531-1109
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
—
—
Other
Enumeration date
10/26/2022
Last updated
10/26/2022
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