Individual
MR. RONALD TALLEY
Active
Sole proprietor
Yes
Provider details
NPI number
Gender
Man
Credential
OTA
Contact information
Practice address
1400 6TH AVE S, BIRMINGHAM, AL 35233-1502
(205) 930-1330
Mailing address
1336 PINEBROOK LN, BIRMINGHAM, AL 35235-1524
(205) 853-5703
(205) 856-6226
Taxonomy
Speciality
Code
Description
License number
State
224Z00000X
Occupational Therapy Assistant
Primary
0021
AL
Other
Enumeration date
10/15/2008
Last updated
10/15/2008
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